Umeukeje Ebele M, Osman Rabia, Nettles Arie L, Wallston Kenneth A, Cavanaugh Kerri L
Division of Nephrology & Hypertension, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt Center for Kidney Disease, Nashville, TN, USA.
J Patient Exp. 2020 Oct;7(5):708-712. doi: 10.1177/2374373519883502. Epub 2019 Nov 19.
This cross-sectional study of 56 dialysis providers from 3 dialysis clinics examined providers' attitudes and perception of autonomy support for patients' medication adherence behaviors. Respondents completed surveys assessing attitudes and perception of autonomy support. Compared to all other provider types, physicians and nurse practitioners (MD/NP) thought it was "less true" that phosphate binder medications are very important for dialysis patients (MD/NP vs others: 5.1 [1.4] vs 6.1 [1.1]; = 0.02). More dialysis technicians (19%) offered the highest level of support. Attitudes and perception of autonomy support for medication adherence are suboptimal, vary by dialysis provider type, and are targets for quality improvement in dialysis care. This study addresses critical gap in existing knowledge about these two novel provider-based psychosocial factors and their potential impact on phosphate binder medication adherence.
这项针对来自3家透析诊所的56名透析服务提供者的横断面研究，考察了服务提供者对患者药物依从行为的自主性支持的态度和认知。受访者完成了评估自主性支持态度和认知的调查。与所有其他类型的服务提供者相比，医生和执业护士（MD/NP）认为磷酸盐结合剂药物对透析患者非常重要这一说法“不太正确”（MD/NP与其他人员相比：5.1[1.4]对6.1[1.1]；P = 0.02）。更多的透析技术人员（19%）提供了最高水平的支持。对药物依从性的自主性支持的态度和认知并不理想，因透析服务提供者类型而异，是透析护理质量改进的目标。本研究填补了现有知识中关于这两个基于服务提供者的新型社会心理因素及其对磷酸盐结合剂药物依从性潜在影响的关键空白。
