皮肤科治疗的依从性:文献综述

Angela Lo, Katie K. Lovell, Jonathan D. Greenzaid, Max E. Oscherwitz, S. Feldman
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引用次数: 0

摘要

皮肤科治疗依从性差仍是一个普遍问题,与治疗失败、临床疗效差和生活质量下降有关。本综述旨在总结目前有关皮肤科治疗依从性的文献,包括衡量治疗依从性的方法、导致不依从的因素、提高依从性的干预措施以及依从性对患者预后的影响。我们使用以下术语对 2006 年至 2023 年的 MEDLINE 进行了检索:[依从性和皮肤病学及治疗]。检索仅限于英文文章类型:临床研究、临床试验、观察性研究和以人为对象的随机对照试验。文献检索共获得 323 篇文章。其中 52 篇文章符合纳入标准,我们对其进行了审查,以定义、测量、理解并提出提高皮肤病治疗依从性的方法。此外,我们还根据文中引文补充了其他文章。可以使用主观和客观的方法来衡量依从性。在处方药物和实施干预措施以提高依从性时,必须考虑以患者、治疗和疾病为中心的因素。减少治疗不良反应、简化治疗方案以及电子健康、教育、沟通和心理干预措施都与提高依从性和疾病预后有关。了解和提高依从性至关重要,因为它对成本、治疗效果和医疗结果都有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adherence to treatment in dermatology: Literature review
Poor adherence to therapies in dermatology remains a prevalent issue associated with treatment failure, poor clinical outcomes, and reduced quality of life. The aim of this review is to summarize the current literature on medical adherence specifically in dermatology, including ways to measure treatment adherence, factors contributing to nonadherence, interventions to increase adherence, and the impact of adherence on patient outcomes. We conducted a MEDLINE search between the years 2006 and 2023 using the following term: [adherence AND dermatology AND treatment]. The search was limited to English article types: clinical study, clinical trial, observational study, and randomized controlled trials in human subjects. The literature search yielded 323 articles. 52 of these articles met the inclusion criteria and were reviewed to define, measure, understand, and suggest means to increase adherence in dermatology. Additional articles were added from in text citations. Adherence can be measured using subjective and objective methods. Patient‐, treatment‐, and disease‐centered factors are important to consider when prescribing medications and implementing interventions to increase adherence. Reducing treatment adverse reactions, simplifying treatment regimens, and eHealth, education, communication, and psychological interventions are associated with improved adherence and disease outcomes. Understanding and enhancing adherence is crucial because of its impact on costs, treatment efficacy, and healthcare outcomes.
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