Dodd Susan
Infection and Travel Medicine, Gledhow Wing, St James's University Hospital, Leeds.
Br J Nurs. 2007;16(19):1180, 1182-5. doi: 10.12968/bjon.2007.16.19.27356.
Home administration of antibiotic therapy to cystic fibrosis patients is one of many applications for the use of elastomeric infusion devices. Patient acceptability can significantly affect adherence to complex drug regimens with concordance being a concern in this patient population. While patient acceptance is often cited as a factor in pump selection, patient preference has not been assessed within a particular class of infusion device. The objective of this study was to assess patient preference for one type of elastomeric infusion device (Baxter Intermate--hard-shelled design) or another (Fresenius Kabi Eclipse--soft-shelled design). Twenty-four patients entered the study. 20/24 (83%) patients expressed a preference for the Eclipse, while 4/24 (17%) stated no preference for either device. The Eclipse device was found to be much more favourable in terms of comfort and discreetness. Patient preference should therefore be given significant consideration in order to maximize concordance with drug regimens.
对囊性纤维化患者进行抗生素治疗的家庭给药是弹性输液装置众多应用之一。患者的接受程度会显著影响对复杂药物治疗方案的依从性,而一致性是该患者群体的一个关注点。虽然患者接受程度常被视为选择输液泵的一个因素,但尚未在特定类型的输液装置中评估患者的偏好。本研究的目的是评估患者对一种弹性输液装置(百特Intermate——硬壳设计)或另一种(费森尤斯卡比Eclipse——软壳设计)的偏好。24名患者进入该研究。24名患者中有20名(83%)表示更喜欢Eclipse,而24名中有4名(17%)表示对两种装置均无偏好。发现Eclipse装置在舒适度和隐蔽性方面更具优势。因此,为了最大限度地提高对药物治疗方案的一致性,应充分考虑患者的偏好。