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影响合并症成人糖尿病患者药物依从性的因素:定性系统评价。

Factors Influencing Medication Adherence Among Adults Living with Diabetes and Comorbidities: a Qualitative Systematic Review.

机构信息

Hollywood Private Hospital, 115 Monash Ave, Nedlands, WA, 6009, Australia.

School of Nursing and Midwifery, Edith Cowan University Joondalup Campus, Joondalup, WA, 6027, Australia.

出版信息

Curr Diab Rep. 2024 Feb;24(2):19-25. doi: 10.1007/s11892-023-01532-0. Epub 2023 Dec 19.

Abstract

PURPOSE OF REVIEW

Medication adherence plays an important role in improving health outcomes related to diabetes and comorbidity. The potential factors influencing medication adherence and how they contribute to health behaviors have not been synthesized to date. This review synthesized qualitative studies that identified factors influencing medication adherence among adults living with diabetes and comorbidity.

RECENT FINDINGS

Twenty-eight findings were extracted and synthesized into four themes: perceived support, lack of knowledge, medication issues, and the importance of routine. The findings highlight the factors that support medication adherence and areas that can be targeted to support and promote medication adherence. The findings also support the potential role of healthcare providers in supporting people living with diabetes and comorbidity to adhere to and maintain medication regimes. Several factors were identified that are amenable to intervention within the clinical practice setting and have the potential to enhance medication adherence and improve health outcomes for people living with diabetes and comorbidities. The development of acceptable and effective interventions could have a positive effect on medication adherence and health outcomes.

摘要

目的综述

药物依从性在改善与糖尿病和合并症相关的健康结果方面起着重要作用。影响药物依从性的潜在因素及其对健康行为的贡献尚未得到综合。本综述综合了定性研究,这些研究确定了影响患有糖尿病和合并症的成年人药物依从性的因素。

最近的发现

提取了 28 项发现,并综合为四个主题:感知支持、缺乏知识、药物问题和常规的重要性。这些发现强调了支持药物依从性的因素以及可以针对哪些领域来支持和促进药物依从性。这些发现还支持医疗保健提供者在支持患有糖尿病和合并症的人遵守和维持药物治疗方案方面的潜在作用。已经确定了一些在临床实践环境中可以干预的因素,这些因素有可能提高药物依从性,并改善患有糖尿病和合并症的人的健康结果。可接受和有效的干预措施的开发可能对药物依从性和健康结果产生积极影响。

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