PDF(Pubmed)
Abstract：
UNASSIGNED: Rheumatic heart disease (RHD) poses a substantial global health challenge, especially impacting resource-limited nations, with over 40.5 million cases reported in 2019. The crucial role of Benzathine penicillin G in both primary and secondary prevention, particularly the latter, emphasizes its significance.
UNASSIGNED: Following PRISMA guidelines, our systematic review explored Medline, Scopus, Google Scholar, and Embase databases from 1990 to 2022. Registered with PROSPERO ), the review utilized quality appraisal tools, including the PRISMA checklist, Cochrane bias tool and Newcastle-Ottawa scale. The objective was to identify and stratify the impact of socio-economic factors on adherence to secondary prophylaxis in RHD.
UNASSIGNED: The impact of education on adherence has been found to be significant. Socially disadvantaged environments significantly influenced adherence, shaped by education, socio-economic status, and geographical location and access to healthcare. Surprisingly, lower education levels were associated with better adherence in certain cases. Factors contributing to decreased adherence included forgetfulness, injection-related fears, and healthcare provider-related issues. Conversely, higher adherence correlated with younger age, latent disease onset, increased healthcare resources, and easy access.
UNASSIGNED: Patient education and awareness were crucial for improving adherence. Structured frameworks, community initiatives, and outreach healthcare programs were identified as essential in overcoming barriers to secondary prophylaxis. Taking active steps to address obstacles like long-distance commute, waiting time, injection fears, and financial issues has the potential to greatly improve adherence. This, in turn, can lead to a more effective prevention of complications associated with RHD.
UNASSIGNED: Following PRISMA guidelines, our systematic review explored Medline, Scopus, Google Scholar, and Embase databases from 1990 to 2022. Registered with PROSPERO ), the review utilized quality appraisal tools, including the PRISMA checklist, Cochrane bias tool and Newcastle-Ottawa scale. The objective was to identify and stratify the impact of socio-economic factors on adherence to secondary prophylaxis in RHD.
UNASSIGNED: The impact of education on adherence has been found to be significant. Socially disadvantaged environments significantly influenced adherence, shaped by education, socio-economic status, and geographical location and access to healthcare. Surprisingly, lower education levels were associated with better adherence in certain cases. Factors contributing to decreased adherence included forgetfulness, injection-related fears, and healthcare provider-related issues. Conversely, higher adherence correlated with younger age, latent disease onset, increased healthcare resources, and easy access.
UNASSIGNED: Patient education and awareness were crucial for improving adherence. Structured frameworks, community initiatives, and outreach healthcare programs were identified as essential in overcoming barriers to secondary prophylaxis. Taking active steps to address obstacles like long-distance commute, waiting time, injection fears, and financial issues has the potential to greatly improve adherence. This, in turn, can lead to a more effective prevention of complications associated with RHD.
摘要：
风湿性心脏病（RHD）构成了巨大的全球健康挑战，尤其是影响资源有限的国家，2019年报告了超过4050万病例。苄星青霉素G在一级和二级预防中的关键作用，尤其是后者,强调其意义。
■遵循PRISMA准则，我们的系统综述探讨了Medline，Scopus,谷歌学者，和Embase数据库从1990年到2022年。在PROSPERO注册)，审查利用了质量评估工具，包括PRISMA清单,Cochrane偏差工具和纽卡斯尔-渥太华量表。目的是确定和分层社会经济因素对RHD二级预防依从性的影响。
■已发现教育对依从性的影响是显着的。社会不利的环境极大地影响了坚持，由教育塑造，社会经济地位,地理位置和获得医疗保健的机会。令人惊讶的是,在某些情况下,较低的教育水平与较好的依从性相关.导致依从性下降的因素包括健忘，注射相关的恐惧，和医疗保健提供者相关的问题。相反，较高的依从性与较年轻的年龄相关，潜在的疾病发作，增加医疗资源，和容易访问。
■患者教育和意识对于提高依从性至关重要。结构化框架，社区倡议,和外展医疗保健计划被认为是克服二级预防障碍的关键。采取积极措施解决长途通勤等障碍，等待时间,注射恐惧，财务问题有可能大大提高依从性。这个,反过来,可以更有效地预防与RHD相关的并发症。
■遵循PRISMA准则，我们的系统综述探讨了Medline，Scopus,谷歌学者，和Embase数据库从1990年到2022年。在PROSPERO注册)，审查利用了质量评估工具，包括PRISMA清单,Cochrane偏差工具和纽卡斯尔-渥太华量表。目的是确定和分层社会经济因素对RHD二级预防依从性的影响。
■已发现教育对依从性的影响是显着的。社会不利的环境极大地影响了坚持，由教育塑造，社会经济地位,地理位置和获得医疗保健的机会。令人惊讶的是,在某些情况下,较低的教育水平与较好的依从性相关.导致依从性下降的因素包括健忘，注射相关的恐惧，和医疗保健提供者相关的问题。相反，较高的依从性与较年轻的年龄相关，潜在的疾病发作，增加医疗资源，和容易访问。
■患者教育和意识对于提高依从性至关重要。结构化框架，社区倡议,和外展医疗保健计划被认为是克服二级预防障碍的关键。采取积极措施解决长途通勤等障碍，等待时间,注射恐惧，财务问题有可能大大提高依从性。这个,反过来,可以更有效地预防与RHD相关的并发症。
