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我国共病患者服药依从性的研究进展

陈维尔 邱艳 潘晓华 任菁菁

陈维尔, 邱艳, 潘晓华, 任菁菁. 我国共病患者服药依从性的研究进展[J]. 中华全科医学, 2023, 21(10): 1745-1748. doi: 10.16766/j.cnki.issn.1674-4152.003215
引用本文: 陈维尔, 邱艳, 潘晓华, 任菁菁. 我国共病患者服药依从性的研究进展[J]. 中华全科医学, 2023, 21(10): 1745-1748. doi: 10.16766/j.cnki.issn.1674-4152.003215
CHEN Weier, QIU Yan, PAN Xiaohua, REN Jingjing. Progress on medication compliance of patients with multimorbidity in China[J]. Chinese Journal of General Practice, 2023, 21(10): 1745-1748. doi: 10.16766/j.cnki.issn.1674-4152.003215
Citation: CHEN Weier, QIU Yan, PAN Xiaohua, REN Jingjing. Progress on medication compliance of patients with multimorbidity in China[J]. Chinese Journal of General Practice, 2023, 21(10): 1745-1748. doi: 10.16766/j.cnki.issn.1674-4152.003215

我国共病患者服药依从性的研究进展

doi: 10.16766/j.cnki.issn.1674-4152.003215
基金项目: 

浙江省基础公益研究计划项目 LQ20G030026

浙江省康恩贝医院管理软科学研究项目 2020ZHA-KEB323

详细信息
    通讯作者:

    任菁菁,E-mail: 3204092@zju.edu.cn

  • 中图分类号: R453  R592

Progress on medication compliance of patients with multimorbidity in China

  • 摘要: 随着我国工业化、城镇化、人口老龄化进程不断加速,人们生产生活方式和疾病谱不断发生变化。心脑血管疾病、糖尿病、慢性呼吸系统疾病及癌症等为代表的慢性病的患病率逐年上升。慢性病已经取代传染病,成为威胁人类生命健康和生活质量的主要疾病。慢性病共存现象在社区老年人群中越来越常见。相较单一慢性病,共病的出现挑战了单病管理的基本原则,多种慢性病的相互作用也对人群造成更大的健康危害。慢性病共存多存在病情复杂、多重用药、过度医疗等问题,严重影响老年人的生活质量和期望寿命,加重家庭和社会的经济负担,增加国家医疗支出,造成卫生资源浪费。慢性病管理在改善患者健康结局、提升患者生活质量方面发挥了重要作用。而药物治疗是慢性病管理的重要内容,是控制病情、减少并发症的重要措施,也是患者预后和康复的有效手段。但是我国各地共病人群服药依从性存在差异,此现状增加了医务人员对共病患者的管理难度。本文依托于我国慢性病患者服药依从性现状,就社会经济学、疾病相关、患者相关、医护团队相关等影响因素展开分析,归类可改变因素,如患者的心理健康状态、认知水平、用药方案、医患沟通、医护的知识储备、药品价格等,进而探讨提高共病患者服药依从性的重要举措,最终为更好地管理共病患者提供借鉴。

     

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  • 收稿日期:  2022-07-28
  • 网络出版日期:  2023-11-23

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