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炎症性肠病(IBD)患者更喜欢口服片剂,而不是其他给药方式。

Patients with inflammatory bowel disease (IBD) prefer oral tablets over other modes of medicine administration.

机构信息

Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.

出版信息

Expert Rev Gastroenterol Hepatol. 2021 Sep;15(9):1091-1096. doi: 10.1080/17474124.2021.1898944. Epub 2021 Mar 10.

Abstract

: With increasing treatment choices for inflammatory bowel disease (IBD), patients' preferences should be considered to limit non-adherence. We explored patients' preferences for route, form and frequency of medication administration, and factors influencing these choices.: Patients rated acceptability of different forms of medication on 10-point Likert scales and preferences for highest acceptable frequency.: Of 298 patients significantly more found tablets (91%) to be highly acceptable compared to granules (64%), infusions (33%) and subcutaneous injections (34%; p < 0.0001). The acceptable frequency for tablets was considered as daily by 63.5% and several times daily by 32.3%. Participants preferred nurse delivered over self-administered injections (median score 8 vs 5, p < 0.0001) and hospital-based infusions over infusions at home (median score 7 vs 5, p = 0.001). Patients with previous or current anti-TNF exposure were more accepting of self-administered injections (50.5% vs 23.3% anti-TNF naive; p < 0.001), more accepting of home based infusions (43.7% vs 28.0%; p = 0.001) and more accepting of hospital-based infusions (57.2% vs 37.8%; p = 0.02).: Most patients with IBD prefer tablets. Those patients who already experienced biological agents, had a high level of acceptance for subcutaneous and intravenous forms of medication.

摘要

:随着炎症性肠病(IBD)治疗选择的增加,应考虑患者的偏好以限制不依从。我们探讨了患者对药物给药途径、形式和频率的偏好,以及影响这些选择的因素。:患者对不同药物形式的可接受性进行 10 分李克特量表评分,并对最高可接受频率的药物进行偏好评估。:在 298 名患者中,明显更多的患者(91%)认为片剂比颗粒剂(64%)、输注剂(33%)和皮下注射剂(34%)更易接受(p < 0.0001)。63.5%的患者认为片剂的可接受频率为每天,32.3%的患者认为可接受的频率为每天多次。参与者更喜欢护士给药而不是自行注射(中位数评分 8 对 5,p < 0.0001),更喜欢医院内输注而不是在家输注(中位数评分 7 对 5,p = 0.001)。有既往或当前抗 TNF 暴露的患者对自我管理注射的接受程度更高(50.5%对 TNF 初治患者的 23.3%;p < 0.001),对家庭基础输注的接受程度更高(43.7%对 28.0%;p = 0.001),对医院内输注的接受程度更高(57.2%对 37.8%;p = 0.02)。:大多数 IBD 患者更喜欢片剂。那些已经使用过生物制剂的患者,对皮下和静脉形式的药物具有更高的接受度。

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