多发性硬化症患者与治疗医生在药物疗效和健康状况方面的一致性。
Concordance Between Persons with Multiple Sclerosis and Treating Physician on Medication Effects and Health Status.
作者信息
Neter Efrat, Glass-Marmor Lea, Haiien Loren, Miller Ariel
机构信息
Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.
Multiple Sclerosis Center & Department of Neurology, Carmel Medical Center, Haifa, Israel.
出版信息
Patient Prefer Adherence. 2021 May 7;15:939-943. doi: 10.2147/PPA.S291485. eCollection 2021.
BACKGROUND
As the number of treatment options for multiple sclerosis (MS) has expanded, alignment between physician and patient on effects of medication has emerged as important for medication persistence/discontinuation.
OBJECTIVE
To evaluate physician-patient agreement levels on medication effect and health status.
METHODS
Persons with MS (PwMS) (n=71) participated in a cross-sectional study collecting their satisfaction (using the Treatment Satisfaction Questionnaire for Medication), intention to dis/continue treatment and global health perception; physicians assessed response to medication and global health status.
RESULTS
Concordance between PwMS' assessment of medication effectiveness and physician's assessment on response to medication, health status and EDSS were = 0.50, = 0.57 and = -0.58, respectively.
CONCLUSION
The significant concordance attests to physician-patient effective communication and may contribute to improved medication adherence.
背景
随着多发性硬化症（MS）治疗选择的增加，医生与患者在药物疗效方面达成一致意见，对于药物持续使用/停药变得至关重要。
目的
评估医患在药物疗效和健康状况方面的一致程度。
方法
71名多发性硬化症患者（PwMS）参与了一项横断面研究，收集他们的满意度（使用药物治疗满意度问卷）、停药/继续治疗的意愿以及整体健康认知；医生评估药物反应和整体健康状况。
结果
PwMS对药物有效性的评估与医生对药物反应、健康状况和扩展残疾状态量表（EDSS）的评估之间的一致性分别为=0.50、=0.57和=-0.58。
结论
显著的一致性证明了医患之间有效的沟通，并可能有助于提高药物依从性。
Zotero 插件