患者对高血压治疗结果的偏好:使用分析层次过程的定量现场研究
Stefanie Gröls1, Andrea Icks2,3,4, Georg Wolff5,6
1Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düssseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany. Stefanie.Groels@hhu.de.
The patient
|February 20, 2026
概括
患有高血压的患者优先考虑避免中风和死亡,而不是其他结果. 将这些患者偏好纳入护理可以改善治疗的坚持和结果.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 高血压是心血管和脑血管事件的重要危险因素.
- 治疗不良的坚持阻碍了高血压的有效管理.
- 患者的偏好对于改善患者的坚持和治疗成功至关重要.
研究的目的:
- 通过分析层次过程 (AHP) 确定患者对高血压治疗结果的偏好.
- 探索偏好,先前事件,人口统计和与健康有关的生活质量 (HRQoL) 之间的关联.
主要方法:
- 量化探索性实地研究,涉及对对比对高血压患者的结果.
- 使用自向量方法计算单个结果权重.
- 使用EQ-5D-5L仪器和视觉模拟尺度评估HRQoL.
主要成果:
- 脑卒中和死亡均为最令人担忧的结果 (重量分别为0.271和0.270).
- 心肌梗塞 (0.191),急性心力衰竭 (0.176) 和药物不良反应 (0.091) 紧随其后.
- 呼吸不良是最关心的ADR;以前患有中风的患者优先考虑避免中风,而以前心肌梗塞的患者优先考虑避免死亡.
结论:
- 这项研究是第一个使用AHP用于高血压治疗偏好的研究,强调中风和死亡是同样优先考虑的结果.
- 延长生命并不是普遍患者的主要目标.
- 整合患者的偏好可以促进以患者为中心的护理,提高坚持和结果.
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