良性前列腺增生的药物依从模式:一项横断面研究

J. Shrestha, H. Joshi, P. Neupane
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摘要

简介:良性前列腺增生是老年男性最常见的疾病之一,也是引起下尿路症状的常见原因。各种疾病管理方法可优化患者的长寿命和有效状态,其中患者对处方治疗的坚持发挥着至关重要的作用。本研究评估了患者的药物依从性模式,以获得成功的治疗结果。方法:在某三甲医院泌尿外科门诊进行横断面研究。使用结构化问卷对诊断为良性前列腺增生的患者进行访谈。结果:用药费用高、对药物的恐惧、缺乏症状缓解是粘附组与非粘附组差异有统计学意义(p<0.05)的因素。同样,坚持组的诊断持续时间(包括体力活动模式)明显少于非坚持组(p<0.05)。与非坚持组相比,坚持组从事商业和服务职业的参与者也更多。结论:一般态度(如对药物的恐惧和缺乏症状缓解)是影响良性前列腺增生患者粘附模式的主要因素。这些问题可以通过适当的指导来解决。然而,药品成本也给不遵守规定的群体带来了巨大的问题。
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Medication Adherence Pattern for Benign Prostatic Hyperplasia: A Cross-Sectional Study
Introduction: Benign prostate hyperplasia is one of the most common diseases and a common cause of lower urinary tract symptoms in aging men. Various disease management approaches to optimize the patient’s long life and efficient status where patient adherence to the prescribed treatment plays a vital role. This study evaluated the medication adherence pattern of the patients to obtain successful treatment outcomes. Methods: A cross-sectional study was conducted in out-patient department of urology in a tertiary care hospital. Patients diagnosed with benign prostate hyperplasia were interviewed using a structured questionnaire. Results: The high expenses of medicine, fear of medication, lack of symptomatic relief were factors that showed statistically significant (p < 0.05) difference between adherent and non-adherent group. Similarly, the duration of diagnosis of the adherent group was significantly less than the non-adherent group including the pattern of physical activities (p < 0.05). Adherent group also had more participants working in business and services occupation compared to the non-adherent group. Conclusion: The general attitude (such as fear of medication and lack of symptomatic relief) is seen as major factors that affect adherent pattern in benign prostate hyperplasia patients. These issues can be solved using proper guidance. However, the cost of medicines also posts an immense issue for the non-adherent group.
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