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[基于药物治疗态度的患者分类工具设计]

[Design of a Tool for Patient Classification Based on Pharmacotherapeutic Attitudes].

作者信息

Reyes Estévez Daniel, Charola Ramos Laura, Horas Barrera Carlos, Mencias Hurtado Ana Belén, Arranz Durán Javier, Martínez Carretero Enrique

机构信息

Licenciado en Farmacia. Farmacéutico comunitario en Farmacia La Comunitaria Dr. Antonio Villafaina Barroso, Granadilla de Abona (Tenerife). España.

Licenciada en Farmacia. Investigadora del Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias. Universidad de La Laguna. Universidad de La Laguna España.

出版信息

Farm Comunitarios. 2024 Feb 26;16(2):14-28. doi: 10.33620/FC.2173-9218.(2024).08. eCollection 2024 Apr 15.

Abstract

INTRODUCTION

Perception and relief of pain exhibit variability among individuals. Age, gender, ethnicity, educational level, actual stress level, mood, or medical conditions can modify the personal interpretation of pain and responses to pharmacological treatment. These differences may play a significant role in the effects, sometimes unwanted, of analgesic treatment.

OBJECTIVES

Define patient typologies with Failed Back Syndrome regarding attitudes toward the disease, treatment, healthcare, and the follow-up they receive from their healthcare professionals. Create a tool for patient profile identification.

MATERIALS AND METHODS

A clinical case series study, observational, descriptive, and cross-sectional. Study population: patients from the Pain Unit of Nuestra Señora de La Candelaria University Hospital (HUNSC) in Tenerife, conducted in three phases: collection of medical history data (F0), initial visit (F1), and personal interview (F2).

RESULTS

Five patient typologies are obtained based on responses to 17 items. Regression equations are calculated from these responses to predict the patient type. They are grouped into "Classics," "Dependents," "Critics," "Unconscious," and "Responsible." Additionally, two tools with 17 items and another with 7 optimized items are developed to simplify the process.

CONCLUSIONS

These tools enable Community Pharmacy (CP) to identify patients based on their characteristics to direct personalized strategies for each of them.

摘要

引言

个体对疼痛的感知和缓解存在差异。年龄、性别、种族、教育水平、实际压力水平、情绪或医疗状况会改变个人对疼痛的解读以及对药物治疗的反应。这些差异可能在镇痛治疗的效果(有时是不良效果)中起重要作用。

目的

针对失败综合征患者,根据其对疾病、治疗、医疗保健以及从医疗保健专业人员那里获得的随访的态度,定义患者类型。创建一种用于识别患者特征的工具。

材料与方法

一项临床病例系列研究,观察性、描述性且为横断面研究。研究人群:来自特内里费岛的我们的圣母德拉坎德拉里亚大学医院(HUNSC)疼痛科的患者,研究分三个阶段进行:病史数据收集(F0)、初次就诊(F1)和个人访谈(F2)。

结果

根据对17个项目的回答得出五种患者类型。从这些回答中计算出回归方程以预测患者类型。它们被分为“典型型”、“依赖型”、“批评型”、“无意识型”和“负责型”。此外,还开发了两种包含17个项目的工具以及另一种包含7个优化项目的工具以简化流程。

结论

这些工具使社区药房(CP)能够根据患者特征识别患者,从而为他们中的每一个制定个性化策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4557/11328704/9ff8293cdb38/FC16-02-03_gf01.jpg

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