与无家可归者服用药物的坚持相关的因素
James O Baffoe1, Leticia R Moczygemba1, Anton L V Avanceña2
1Health Outcomes Division, The University of Texas College of Pharmacy, 2409 University Avenue Stop A1930, Austin, TX, 78712, USA.
Research in social & administrative pharmacy : RSAP
|December 13, 2025
概括
在无家可归者 (PEH) 中,药物坚持率较低. 心理困扰和药物负担能力显著影响了坚持,这表明需要有针对性的支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 对无家可归 (PEH) 的人来说,药物坚持是重大挑战.
- 有限的研究存在于影响药物坚持因素在这个人群.
- 了解这些因素对于改善健康结果至关重要.
研究的目的:
- 检查PEH中预易性,启用性和需要 (PEN) 因素与药物坚持之间的关系.
- 识别影响遵守的传统和脆弱因素.
- 为这个弱势群体提供有针对性的干预信息.
主要方法:
- 在德克萨斯州的无家可归者服务机构对150名无家可归者进行了横截面调查.
- 参与者是成年人,他们正在服用治疗慢性病的口服药物,最近获得了医疗保健.
- 希尔-博恩药物坚持度表测量了坚持;PEN因子是独立变量.
主要成果:
- 平均药物坚持得分是36分之29.6的36分.
- 两变量分析显示,物质使用,心理困扰,负担能力,运输,储存,竞争需求以及药物数量与坚持有关.
- 心理困扰和药物负担能力在调整后仍然与坚持相关.
结论:
- 医疗保健提供者应该解决心理困扰和药物负担能力,以改善PEH的坚持.
- 建议制定针对这些障碍的定制咨询策略,专注于这些障碍.
- 进一步的研究可以探索具体的干预措施,以减轻这些挑战.
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