种姓与坚持治疗之间关系的新分析

Ahsan Abdullah, Meher Abdullah, Muhammad Saad Abdullah
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摘要

在临床实践中,尚未对患者因其种姓而接受治疗的情况进行深入研究。本研究以伊斯兰堡附近三家政府医院的 193 名室外患者为研究对象,这些患者的平均年龄为 43.65 岁(18-87 岁不等),中位年龄为 45 岁。首先,患者被要求回答一份包含 13 个项目的调查问卷,内容涉及可能影响坚持建议治疗的因素。随后,每位患者回答了乌尔都语版的莫里斯基医疗依从性量表(MMAS-8)问卷。在对数据进行预处理后,对每位参与者的回答进行评分,以确定其对建议医疗的依从性,最后对所有变量进行统计分析。MMAS-8的总平均得分为4.55分。在临床实践中,关于患者的医疗依从性与其种姓的关系还没有很好的研究。本研究以伊斯兰堡附近三家政府医院的 193 名室外患者为研究对象;患者的中位年龄为 45 岁,平均年龄为 43.65 岁(范围为 18-87 岁)。首先,我们向患者发放了一份包含 13 个项目的调查问卷,该问卷基于可能影响患者坚持处方药物治疗的变量。之后,每位患者用乌尔都语回答了莫里斯基医疗依从性量表(MMAS-8)问卷。数据准备完成后,对每位参与者的回答进行评估,以确定其对处方药物治疗的依从性,然后对所有变量进行统计分析。MMAS-8 的平均得分为 4.55 分。在 63 名患者的三个主要种姓中,发现三个变量与依从性低有很大关系,即 i) 受抚养子女人数(p = 0.005);ii) 年龄(p = 0.02);iii) 种姓(p = 0.03)。此外,与未受过教育的患者相比,受过高等教育的患者似乎更能坚持治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Novel Analysis of the Relationship Between Caste and Adherence to Medical Treatment
In clinical practice the adherence to medical treatment of patients with regard to their caste has not been well-studied. This study is based on 193 outdoor patients having mean age of 43.65 years (range 18–87 years), median age of 45 years at three government hospitals located next to Islamabad. First the patients considered were asked to answer a 13-item questionnaire concerning the factors that could have affected adherence to the recommended medical treatment. Subsequently, each patient answered the Urdu language version of the Morisky Medical Adherence Scale (MMAS-8) questionnaire. After data preprocessing, the response of each participant was scored to ascertain the adherence to the recommended medical treatment and finally all variables were statistically analyzed. The overall mean MMAS-8 score was 4.55.The adherence to medical treatment of patients in clinical practice with relation to their caste has not been well researched. This study is based on 193 outdoor patients from three government hospitals near Islamabad; patients having median age of 45 years and a mean age of 43.65 years (range 18–87 years). First, a 13-item questionnaire based on the variables that could have impacted adherence to the prescribed medical therapy was given to the patients under consideration. After that, each patient responded to the Morisky Medical Adherence Scale (MMAS-8) questionnaire in Urdu. Following data preparation, each participant's response was assessed to determine compliance with the prescribed medical therapy, and all variables were then statistically analyzed. The mean MMAS-8 score across the board was 4.55. Three variables were found to be considerably associated with low adherence i.e. i) number of dependent children (p = 0.005) ii) age (p = 0.02) and iii) caste (p = 0.03) for three major castes of 63 patients. Moreover, patients having higher education appeared to be more adherent as compared to those patients that had no schooling.
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