关键词: Adults Chronic diseases Comorbidity Diabetes mellitus Diabetic Medication adherence Medication compliance Patient compliance Qualitative study Systemic review

Mesh : Adult Humans Comorbidity Diabetes Mellitus / drug therapy epidemiology Health Personnel Medication Adherence

来  源:   DOI:10.1007/s11892-023-01532-0   PDF(Pubmed)

Abstract:
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.
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:服药依从性在改善与糖尿病和合并症相关的健康结局方面发挥着重要作用。迄今为止,尚未综合影响药物依从性的潜在因素以及它们如何促进健康行为。这篇综述综合了定性研究,这些研究确定了影响糖尿病和合并症成年人用药依从性的因素。
结果:提取了28个发现,并将其合成为四个主题:感知支持,缺乏知识,药物问题,例行公事的重要性。研究结果强调了支持药物依从性的因素以及可以针对支持和促进药物依从性的领域。研究结果还支持医疗保健提供者在支持糖尿病和合并症患者坚持和维持药物治疗方案方面的潜在作用。确定了几个因素,这些因素可以在临床实践环境中进行干预,并且有可能增强药物依从性并改善糖尿病和合并症患者的健康结果。开发可接受和有效的干预措施可能对药物依从性和健康结果产生积极影响。
公众号