患者对质子抑制剂使用及其风险的看法
Ibrahim O Sawaied1, Abraham O Samson2, Efrat Golan3
1Azrieli Faculty of Medicine, Bar-Ilan University, Safed 2170000, Israel. ibomsa13@gmail.com.
World journal of clinical oncology
|January 29, 2026
概括
患者对长期的质子抑制剂 (PPI) 风险的认识很低,例如癌症. 家庭支持和更长时间的PPI使用增加了风险意识和停止这些药物的意愿.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 长期使用质子抑制剂 (PPI) 在与酸有关的疾病中很常见.
- 新出现的证据将长期的PPI治疗与包括胃癌在内的不良结果联系在一起.
- 患者对这些风险和影响PPI停药的因素的认识仍然不太清楚.
研究的目的:
- 评估患者对长期使用质子抑制剂 (PPI) 相关风险的认识.
- 确定影响患者停止PPI治疗意愿的因素.
主要方法:
- 一项涉及3000名以色列成人PPI使用者的横截面观察研究.
- 参与者完成了关于风险意识,家庭支持和生活质量的多语言调查.
- 多变量逻辑回归分析了与高风险意识和抑郁意图相关的因素.
主要成果:
- 观察到对PPI风险的认识有限,只有26.5%的人认为 pantoprazole 存在癌症风险.
- 30%的患者希望停止PPI治疗,15%的患者出现症状复发.
- 较高的风险意识和戒断意愿与家庭支持和更长时间的PPI使用 (>1年) 有关.
结论:
- 患者对质子抑制剂 (PPI) 的潜在长期风险缺乏充分的认识.
- 家庭支持和长时间的PPI治疗是与增加风险感知和抑郁症相关的重要因素.
- 进一步的研究和患者教育是有必要的,以解决PPI风险,并促进知情的治疗决策.
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