Patient preference and adherence最新文献

{"title":"How Does Indonesian Chronic Disease Patient Adhere to Their Treatment? A Cross-Sectional Analysis of 11,408 Subjects.","authors":"Ivan Surya Pradipta, Kevin Aprilio, Yozi Fiedya Ningsih, Mochammad Andhika Aji Pratama, Vesara Ardhe Gatera, Sofa Dewi Alfian, Aulia Iskandarsyah, Rizky Abdulah","doi":"10.2147/PPA.S503601","DOIUrl":"10.2147/PPA.S503601","url":null,"abstract":"<p><strong>Background: </strong>Chronic disease has become an increasing burden in Indonesia, increasing the importance of treatment adherence to control the disease prognosis. Therefore, we aim to determine the prevalence and characteristics of nonadherence in Indonesian chronic disease population.</p><p><strong>Methods: </strong>We identified 11,408 adult subjects with chronic diseases from the fifth Indonesian Family Life Survey. We defined treatment nonadherence as the outcome variable and characteristics related to the World Health Organization Multidimensional Adherence Model as exposure variables. We used descriptive and multivariable analyses to analyze factors related to treatment nonadherence.</p><p><strong>Results: </strong>We identified that 57% (95% CI 56.1-57.9) of chronic disease patients were nonadherent to their treatment. Treatment nonadherence was notable in subjects with liver disease (61.8%), tuberculosis (59.8%), digestive diseases (57.9%), other lung diseases (56.8%), psychiatric diseases (51.6%), asthma (51.2%), and hypertension (50%). Treatment nonadherence was associated with socioeconomic-related factors of being aged 15-65 years, living in rural areas, having history of formal education, and having a household size of 2-6 people. Furthermore, in patient- and condition-related factors, positive perceptions of their health condition, missing 0-7 days of their regular activity in the last month, being ex- and non-smokers, having no depression symptoms, and having only one chronic disease were associated with treatment nonadherence.</p><p><strong>Conclusion: </strong>Treatment nonadherence for chronic diseases in Indonesia was found to be prevalent. Further consideration of characteristics associated with treatment nonadherence should be given to ensure optimal control of chronic diseases.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"173-184"},"PeriodicalIF":2.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11766224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Implementing the Lean Management on Internal Errors at an Outpatient Hospital Pharmacy in China.","authors":"Lisong Lv, Yi Yao, Mingwan Zhang, Chuanwei Xin","doi":"10.2147/PPA.S486478","DOIUrl":"10.2147/PPA.S486478","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the lean management strategies used by an outpatient hospital pharmacy in China to reduce internal errors in prescription dispense and to describe their impact on patient satisfaction.</p><p><strong>Methods: </strong>The type and number of internal errors in prescription dispense from January 1, 2022, to December 31, 2022, were collected. The causes of these errors were analyzed based on a series of lean management concepts and methods, and Lean Management was implemented from January 1, 2023, to December 31, 2023, in this outpatient hospital pharmacy. The number of internal errors, the proportion of dispense errors and the change of patient satisfaction before and after Lean Management were compared.</p><p><strong>Results: </strong>Before the implementation of Lean Management, 2978 cases of internal errors were reported. It includes 1286cases (43.18%) of delivering wrong numbers, 612cases (20.55%) of medication in close proximity, 434cases (14.57%) of forget to dispense medication, 221cases (7.42%) of sound-alike medication, 203 cases (6.82%) of multiple sizes of a medication, 125 cases (4.20%) of look-alike medication, and 97 cases (3.26%) of others. The proportion of dispense errors was 3.46‰. After the implementation of Lean Management, the total number of internal errors in prescription dispense decreased to 219 cases, the proportion of internal errors in prescription dispense decreased to 0.27‰, which has a significant difference, and the satisfaction of patients increased from 52.94% to 72.97%.</p><p><strong>Conclusion: </strong>The implementation of Lean Management can be an efficient approach to reduce the internal errors in prescription dispense.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"139-147"},"PeriodicalIF":2.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude, Awareness, and Practice Regarding <i>Demodex</i> Mites Among the Thai Population.","authors":"Anon Paichitrojjana, Anand Paichitrojjana","doi":"10.2147/PPA.S505615","DOIUrl":"10.2147/PPA.S505615","url":null,"abstract":"<p><strong>Background: </strong><i>Demodex</i> mites are common ectoparasites in humans and can cause various skin disorders known as demodicosis, ranging from nonspecific facial dermatitis to conditions resembling eczema, seborrheic dermatitis, folliculitis, and acne. Overgrowth of these mites can lead to pityriasis folliculorum, perioral dermatitis, blepharitis, and rosacea, significantly impacting skin health. This study aims to investigate the knowledge, attitude, awareness, and practice regarding <i>Demodex</i> mites in the Thai population and analyze the influencing factors associated with these aspects.</p><p><strong>Methods: </strong>This study is a cross-sectional, analytical, observational study. All participants completed a questionnaire that covered sociodemographic characteristics, knowledge, attitude, awareness, practice regarding <i>Demodex</i> mites, and sources of health information. The survey was distributed via Google Forms, social media platforms, and paper questionnaires.</p><p><strong>Results: </strong>Among 540 participants, the average age was 38.65 years, with 52% males. Mean scores for knowledge, attitude, awareness, and practice were 4.56 ± 2.56 out of 10, 17.37 ± 3.88 out of 25, 13.52 ± 3.59 out of 25, and 18.57 ± 3.73 out of 25, respectively. Only 23.33% had adequate knowledge, 50.56% had positive attitudes, and 10.93% had sufficient awareness. However, 66.11% exhibited active practices. Factors associated with active practice included being female (AOR = 1.95, p = 0.003), adequate knowledge (AOR = 1.63, p = 0.042), positive attitudes (AOR = 1.83, p = 0.002), and sufficient awareness (AOR = 4.12, p = 0.001).</p><p><strong>Conclusion: </strong>The study clearly showed that the knowledge of <i>Demodex</i> mites among Thai people is limited. Although their attitudes toward these mites are fairy positive, their awareness remains alarmingly low. Nevertheless, they do engage in practices related to personal hygiene. Therefore, it is essential to improve this situation through effective educational campaigns to significantly enhance the management of skin diseases caused by <i>Demodex</i> mites.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"149-159"},"PeriodicalIF":2.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Adherence to a Healthy Diet Across the Spectrum of Chronic Kidney Disease.","authors":"Xochitl B Trigueros-Flores, Gabriela Luna-Hernández, María F Santos-Lopez, Lucía Pérez-Galván, Karen J Flores-Camacho, Laura M Díaz-Canchola, Alfonso M Cueto-Manzano, Hugo E Chávez-Chávez, Jose I Cerrillos-Gutiérrez, Enrique Rojas-Campos, Fabiola Martín-Del-Campo","doi":"10.2147/PPA.S494390","DOIUrl":"10.2147/PPA.S494390","url":null,"abstract":"<p><strong>Purpose: </strong>A healthy diet plays an important role for chronic kidney disease (CKD) treatment, but adherence to nutritional recommendations is frequently low. The aim of the present study was to describe barriers and facilitators to adherence to a healthy diet in people with CKD.</p><p><strong>Patients and methods: </strong>Cross-sectional study; 80 predialysis (n=20), hemodialysis (n=20), peritoneal dialysis (n=20) and transplant (n=20) patients matched by age and sex, were included. Nutritional evaluation included subjective global assessment, anthropometry, quality of food consumption (Mini-ECCA v.2), self-perception about diet and willingness to change. Barriers and facilitators were evaluated with a qualitative approach (semi-structured interviews). Concepts were converted into \"in vivo\" and \"theoretical\" codes, then, grouped into categories. A second analysis was performed with the ATLAS.ti software.</p><p><strong>Results: </strong>Frequency of malnutrition was 50% in people receiving dialysis. Quality of food consumption was healthier on people with CKD stages 3b-5 (40%) and people with kidney transplant (65%) compared to peritoneal dialysis (25%) and hemodialysis (0%). The main themes influencing adherence to a healthy diet were: need for nutritional guidance, economy, dietary restrictions, willingness to change, relationship with consequences in disease control and health status, aversion for healthy foods, bad and good self-perception, family support, feelings and emotions, environment, eating habits and CKD itself. Lack of time, work, economy, food preferences and cravings were the main barriers in people with CKD stage 3b-5 and transplant, while low willingness to eat healthy foods and dietary restrictions were the main barriers in people receiving dialysis.</p><p><strong>Conclusion: </strong>Personal, environmental, health professional-related, CKD related as well as feelings and emotions aspects that people with CKD face in a daily basis, act as barriers or facilitators when trying to follow a healthy diet. Individualizing nutritional treatment taking into account people with CKD perspectives and situations is of utmost importance to improve adherence to nutritional treatment.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"123-137"},"PeriodicalIF":2.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences of Integrated Care and the Influencing Factors Among Chinese Community-Dwelling Older Adults.","authors":"Siqi Liu, Jun Zhao, Nan Liu, Tingting Qin, Fang Wang","doi":"10.2147/PPA.S495034","DOIUrl":"10.2147/PPA.S495034","url":null,"abstract":"<p><strong>Objective: </strong>Population aging and epidemiological transition have prompted requests for integrating health and social care. The goal of meeting complex care needs necessitates the understanding of preferred patterns among older adults. The study aimed to elicit the preferred care patterns and the influencing factors of integrated health and social care among community-dwelling older adults in multiple regions of China.</p><p><strong>Methods: </strong>From a national survey, 1184 community-dwelling older adults in three cities across China were included in the study. Individual characteristics and preferred care patterns were measured. Five preferred care patterns were classified, including Home-based health and social care, Community-based health and social care, Home-based health care but community-based social care, Community-based health care but home-based social care, and Institution-based health and social care. Multivariate logistic regression and random forest model were applied to obtain reliable results.</p><p><strong>Results: </strong>Overall, approximately half of the participants (47.7%) in the survey preferred Home-based health and social care and more than a quarter of participants (25.6%) preferred Community-based health and social care, followed by Institution-based health and social care (14.4%). A relatively small fraction of participants reported preferences for Home-based health care but community-based social care (8.0%) and Community-based health care but home-based social care (4.2%). Gender, age, education, living arrangement, resident city, income per month, access to medication, and self-care capability were significantly associated with older adults' preferences (p<0.05 each). Education, living arrangement, age, resident city, and income per month were the most relevant predictors, followed by gender, number of chronic diseases, self-care capability, and access to medication.</p><p><strong>Conclusion: </strong>To effectively meet care needs, efforts should focus on home- and community-based care. Since the preferred care patterns were characterized by obvious variability, policymakers and service providers should carefully consider the differences in making tailored strategies.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"107-122"},"PeriodicalIF":2.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Psychological Capital and Self-Management Behaviors in Men with Gout: A Cross-Sectional Study in Southwest China.","authors":"Ying Wang, Yanling Chen, Qi Qi, Yuqing Song, Xin Guo, Ling Ma, Hong Chen","doi":"10.2147/PPA.S473905","DOIUrl":"10.2147/PPA.S473905","url":null,"abstract":"<p><strong>Purpose: </strong>Gout is a common, chronic inflammatory joint disease, and men are more likely to suffer from gout. Improving patient self-management behaviors is a priority in gout healthcare. Psychological capital is associated with self-management behaviors in chronic diseases and can be improved through a number of interventions. However, this topic has not been well studied in gout patients. The aim of this study was to determine the level of psychological capital among male gout patients in Southwest China and to compare differences in self-management behaviors among patients with different levels of psychological capital.</p><p><strong>Patients and methods: </strong>This was a cross-sectional study. A total of 242 male gout patients were recruited from West China Hospital of Sichuan University, and demographic characteristics, clinical characteristics, psychological capital, and behavioral variables related to patient self-management were collected. K-Means cluster analysis was used to characterize psychological capital.</p><p><strong>Results: </strong>The total psychological capital score of the participants was 134.5 (SD = 21.3). Cluster analysis of the four dimensions of psychological capital yielded three clusters, namely, Cluster 1 (higher level, 29.8%), Cluster 2 (moderate level, 52.3%), and Cluster 3 (poor level, 17.9%). The differences in the self-management behaviors among the three clusters, the differences were statistically significant. Post hoc analyses revealed that cluster 1 scored higher on the self-Management behaviors and its four dimensions than either cluster 2 or cluster 3 (p < 0.05).</p><p><strong>Conclusion: </strong>The psychological capital of men with gout in Southwest China could be improved, and moderate and low levels of psychological capital are associated with suboptimal self-management behaviors. Healthcare providers may target gout patients with low or moderate levels of psychological capital as an intervention and take steps to improve their levels of psychological capital. These results may assist in decision-making for self-management behavioral interventions for gout patients.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"97-105"},"PeriodicalIF":2.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Health Disparities in Digital Services and Technologies During and After the COVID-19 Pandemic: A Pooled Cross-Sectional Analysis Using HINTS Data.","authors":"Huan-Ju Shih, Hua Min, Jongwha Chang","doi":"10.2147/PPA.S495318","DOIUrl":"10.2147/PPA.S495318","url":null,"abstract":"<p><strong>Introduction: </strong>Digital health techniques were adopted faster during COVID-19, but the gap remains. This study analyzes how the digital gap affected pandemic patient portal uptake during and after. Patient portals improve physician connections and patient health information access, increasing health outcomes. Digital divide-lack of internet, digital literacy, and SDOH-may inhibit fair adoption. One study found that the internet and IT affected people during and after the pandemic. Learn why this patient demographic uses online patient portals so much. Like finding demographic, socioeconomic, and behavioral characteristics that affect portal usage, specifically drivers and barriers for health-conscious patients. This project developed a health promotion model and implemented initiatives to increase patient portal use and reduce health inequities.</p><p><strong>Methods: </strong>In 2020 and 2022, we used Health Information National Trends Survey (HINTS) data. Patient portal use dominated. Our cross-sectional study assessed patient portal use and various predictors. Age, marital status, sex, mental health, education, income, urban/rural (urbanity), family size, trust, social media use, chronic condition, and health app use predict. We handled survey data collection biases with weighted analyses. Data was computed using survey weights for population representation. Logistic regression and weighted descriptive statistics utilized STATA SE 16.1.</p><p><strong>Results: </strong>Demographic, socioeconomic, and behavioral characteristics significantly affect online patient portal use. Portal usage is positively correlated with health app use, urbanity, higher income, sex, Asian/Native American race/ethnicity, and hospital trust. In addition, our data shows low adoption rates across the digital divide. Patients who trust others utilize patient portals, and previously established characteristics affect self-motivation for health improvement.</p><p><strong>Conclusion: </strong>Access obstacles and behavioral factors affect online patient portal adoption. Addressing the digital divide is crucial, but trust and self-motivation may improve patient portal utilization. Adopting health IT can improve patient participation and access to care, supporting equitable health outcomes.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"87-96"},"PeriodicalIF":2.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Oral Corticosteroid Use and Adverse Effects: A National Cross-Sectional Survey of People with Asthma.","authors":"Arwel W Jones, Vanessa M McDonald, Rebecca F McLoughlin, Teresa M Vella, Anthony W Flynn, John D Blakey, Luke Wolfenden, Mark Hew, John W Upham, Dennis Thomas, Philip Bardin, Anne E Holland","doi":"10.2147/PPA.S487743","DOIUrl":"10.2147/PPA.S487743","url":null,"abstract":"<p><strong>Purpose: </strong>Oral corticosteroids (OCS) are an effective treatment for severe uncontrolled asthma or asthma exacerbations, but frequent bursts or long-term use carry serious and sometimes irreversible adverse effects, or complications such as adrenal insufficiency upon discontinuation. Our aim was to survey people with asthma on their experiences of, and attitudes towards, using OCS.</p><p><strong>Patients and methods: </strong>This study was a national descriptive cross-sectional survey of people with asthma in Australia. An anonymous survey was hosted online with invitations to participate distributed by national consumer peak bodies. Survey free-text responses were coded to the Theoretical Domains Framework (TDF) to elicit determinants of OCS use.</p><p><strong>Results: </strong>1808 people with asthma participated between 3 and 16 May 2022. Most common reasons for using OCS were severe asthma symptoms (40%), doctor prescription (38%) or asthma action plan recommendations (20%). Approximately 55% of people had experienced adverse effects from OCS use. Commonly reported adverse effects were trouble sleeping (69%), weight gain (56%) and mood problems (41%). Of people who had OCS at home or an OCS script, 44% did not have an action plan that described when and how they should take them. People (33%) did not feel well informed about OCS adverse effects from their healthcare team. People had varied awareness (3-65%) of current available strategies to reduce OCS use. 'Knowledge', 'Environmental context and resources' and 'Social influences' were the most coded TDF domains influencing OCS use.</p><p><strong>Conclusion: </strong>Adverse effects of OCS use are common. People with asthma are not adequately informed about optimal OCS use or strategies to reduce overuse. These findings can help guide the implementation of OCS stewardship initiatives.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"75-85"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of Satisfaction Among Patients Using Insulin Administered by Pen vs Vial/Syringe. An Observational Prospective Study.","authors":"Luis Fernando Valladales-Restrepo, Ana Camila Delgado-Araujo, María Camila Oyuela-Gutiérrez, Harrison David Ospina-Arzuaga, Jorge Enrique Machado-Alba","doi":"10.2147/PPA.S491944","DOIUrl":"10.2147/PPA.S491944","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the satisfaction of patients with diabetes mellitus who used subcutaneous insulin application devices in Colombia.</p><p><strong>Patients and methods: </strong>An observational prospective study of patients with diabetes mellitus receiving insulin treatment in Colombia. Sociodemographic, comorbidity and pharmacological data were taken from a drug dispensing database. Through telephone calls, satisfaction with application devices was evaluated with Diabetes Treatment Satisfaction Questionnaire status version (DTSQ-s). Satisfaction was considered high at a score ≥30 points. The change in the type of insulin delivery device (ie, from pen to vial/syringe, and from vial/syringe to pen) was evaluated during a 1-year follow-up.</p><p><strong>Results: </strong>A total of 382 patients from 75 cities were selected, with a median age of 66.0 years, and 56.3% were women, and 65.2% were treated with long-acting insulins. The mean DTSQ-s score was 26.6±5.3 points, and 38.7% presented high satisfaction, without statistically significant differences between pen and vial/syringe. A total of 18.8% changed the administration device, mainly those that came from Bogotá-Cundinamarca (OR:2.19; 95% CI:1.01-4.75), in concomitant treatment with other antidiabetic drugs (OR:2.28; 95% CI:1.00-5.22) and those who previously used insulin in vial/syringe (OR:33.90; 95% CI:11.88-96.74).</p><p><strong>Conclusion: </strong>The participants had low satisfaction with the insulin delivery device. No statistically significant differences were found in satisfaction between those who received pen vs vial/syringe insulin, and patients using the latter had a high probability of switching to insulin pen.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"65-74"},"PeriodicalIF":2.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Evidence Summary of Home Enteral Tube Feeding Care Management in the Elderly.","authors":"Huiya Zhu, Aihua Liu, Zhongyan Han, Yanling Yang, Xiao Ma, Haiyan Shi","doi":"10.2147/PPA.S498890","DOIUrl":"10.2147/PPA.S498890","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate and summarize the best evidence of home enteral tube feeding (HETF) care management in the elderly to provide an evidence-based basis for caregivers to implement care interventions.</p><p><strong>Patients and methods: </strong>Evidence on HETF care management in the elderly was retrieved from Chinese and international databases, guidelines, and websites of professional associations, including systematic reviews and expert consensuses, using the keywords of home enteral nutrition, home tube feeding, old, elder, home care, etc. The literature considered in this study was published from April 2019 to April 2024. Two trained researchers independently evaluated the quality of the included literature, graded the literature using the JBI evidence pre-grading system, classified and summarized the extracted evidence.</p><p><strong>Results: </strong>A total of 15 articles were included, including 1 clinical decision, 1 guideline, 3 best evidence summaries, 4 systematic reviews, 2 randomized controlled trials, and 4 quasi-experimental studies. 18 pieces of the best evidence were summarized in 3 aspects, including the NST administration, education of caregivers, and selection of nutrition formulas.</p><p><strong>Conclusion: </strong>This study comprehensively summarized the best evidence of home enteral tube feeding care management in the elderly and provided a scientific basis for caregivers to implement care interventions. In home care settings, using evidence-based practices requires developing a comprehensive care management system based on the trinity of hospital, community and home, in order to reduce the incidence of HETF-related complications, improve the quality of life of the elderly with HETF, and provide a practical reference for NST members and caregivers.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"49-63"},"PeriodicalIF":2.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}