患有心力衰竭的患者的药物不服药:系统性审查
Parisa Sadat Bahroodi1, Azade Safa1, Neda Mirbagher Ajorpaz2
1Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Journal of education and health promotion
|March 6, 2026
概括
心力衰竭 (HF) 患者的药物不遵守是常见的,通常超过50%. 个人,临床和社会支持因素有助于解决这个问题,影响患者的生活质量.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 药物不遵守是心力衰竭 (HF) 患者住院的重要原因之一.
- 在患有HF的人群中,经常报告高比例的不遵守处方治疗.
研究的目的:
- 在被诊断为心力衰竭的患者中,系统地审查和确定与药物不服药相关的因素.
主要方法:
- 根据PRISMA (2020) 准则进行了系统审查.
- 搜索包括主要数据库 (科学网,Scopus,PubMed,谷歌学者,ScienceDirect) 来搜索2015年4月至2024年8月的研究.
- 关键词包括"不服药"",心力衰竭"",不服药"",服药".
- 分析了20篇符合条件的文章,包括描述性的横截面,队列和观察性研究.
主要成果:
- 大多数审查的研究表明,心力衰竭患者的药物不服药率超过50%.
- 鉴定出导致不遵守的因素被分为三个主要方面:个人,临床和社会支持.
- 在分析的研究中,样本大小从72人到26439人不等.
结论:
- 解决心力衰竭患者的药物不服药问题需要涉及医疗保健提供者和政策制定者的多方面的方法.
- 建议采取医疗保险,患者教育和咨询等干预措施,以改善自我护理和遵守.
- 提高药物坚持对于改善心力衰竭患者的整体生活质量至关重要.
相关概念视频
01:30Heart Failure V: Medical Management
441
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
441
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
1.3K
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
1.3K
01:22Heart Failure VI: Adjunct Therapies
488
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
488
01:30Heart Failure VII: Nursing Interventions
613
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
613
01:22Heart Failure Drugs: β-Blockers
1.0K
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
1.0K
01:22Heart Failure Drugs: Diuretics
1.1K
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
1.1K