在乌干达穆拉戈医院接受慢性抗高血压治疗的患者中,磨损和相关因素:混合方法研究研究
Nathan Ntenkaire1,2, Mark Kaddu Mukasa3, Patience Muwanguzi1,4
1Clinical Epidemiology Unit, College of Health Sciences, Makerere University, Kampala, Uganda.
PloS one
|February 26, 2026
概括
在高血压护理中,高消耗率超过56%,需要改进患者保留策略. 针对性干预对于高风险群体至关重要,以确保一致的血压管理和预防严重的健康问题.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性抗高血压治疗中患者的消耗是个重要问题,导致血压失控和不良健康结果.
- 了解导致治疗中止的因素对于医疗保健提供者来说至关重要,以改善患者的坚持和结果.
- 这项研究调查了2020年1月至2022年12月期间高血压患者的消耗及其相关因素.
研究的目的:
- 评估在接受慢性抗高血压治疗的患者中消耗的比例.
- 为了确定与高血压患者的消耗 (随访损失) 相关的因素.
- 为改善高血压管理中的患者保留率制定策略提供信息.
主要方法:
- 采用了一种序列解释混合方法设计,将1215名患者的定量回顾性队列数据与16名患者的定性数据结合起来.
- 量化数据分析使用扩展的考克斯回归来确定与耗尽时间相关的因素.
- 定性数据分析涉及使用代码书进行主题分析,以探索患者的经验和跟踪障碍.
主要成果:
- 整体消耗比例为56.8%,2020年最高率 (64.9%) 和2021年最低率 (54.7%).
- 与消耗相关的因素包括年龄较大,女性性别,首都以外的居住地,较晚的队列进入年份,以及最后一次访问的静缩和静缩血压.
- 对随访的损失归因于结构和上下文障碍,卫生系统挑战以及与患者相关的因素,如疾病感知和健康限制.
结论:
- 高 attrition rate (56.8%) 显著低于CDC的80%保留目标,突出了改善保留策略的迫切需要.
- 特定的高风险群体,如男性和居住远离卫生设施的患者,需要有针对性的支持.
- 实施以患者为中心的方法,解决结构性和卫生系统障碍,对于提高高血压护理中的保留率至关重要.
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