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首页> 外文期刊>Patient Preference and Adherence >Treatment Adherence Among Patients with Five Dermatological Diseases and Four Treatment Types - a Cross-Sectional Study
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Treatment Adherence Among Patients with Five Dermatological Diseases and Four Treatment Types - a Cross-Sectional Study

机译：五种皮肤病患者和四种治疗类型的治疗依赖性 - 横截面研究

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Purpose: Treatment non-adherence leads to negative therapeutic outcomes and financial burdens on the healthcare system. This study aims to compare the mean adherence scores among patients with five dermatological diseases and four treatment types and to identify the associated patient-related factors. Patients and methods: This is a cross-sectional study conducted from January 2019 to August 2019. The questionnaire was distributed among patients attending the outpatient dermatology clinic at King Khalid University Hospital, Riyadh, Saudi Arabia. It included 2330 patients who were over 16 years old and diagnosed with any of the five dermatological diseases (psoriasis, chronic dermatitis, acne vulgaris, hair growth disorders, and vitiligo). The 12-item Medication Adherence Scale was used to quantify the mean adherence score. Results: Patients with psoriasis or chronic dermatitis were less adherent to treatments than patients with acne vulgaris, hair growth disorder, or vitiligo. Oral treatment and phototherapy had higher mean adherence scores than injection or topical treatment. High adherence was found in female, single patients; those who did not feel stigmatized from using treatment; those who did not have bad experience with the treatment; those who did not suffer from forgetfulness; those who connected receiving treatment with a habit; those who did not lack treatment responsiveness; those who had an excellent relationship with a dermatologist; and patients with a lesion in an exposed area. Stepwise multiple linear regression was also used to identify the independent variables related to adherence score. Conclusion: Psoriasis and chronic dermatitis patients had the lowest mean adherence scores. Patient who were on oral medication had the highest adherence score, while those on topical medication had the lowest score. The thoughtful consideration of factors associated with high adherence is important for optimal therapeutic outcomes.
机译：目的：治疗非遵守导致医疗保健系统的负面治疗结果和金融负担。本研究旨在比较五种皮肤病患者和四种治疗类型的患者的平均粘附评分，并确定相关的患者相关因素。患者和方法：这是从2019年1月到2019年8月进行的横断面研究。调查问卷分发，分发，参加了沙特阿拉伯利雅得的国王大学医院的门诊皮肤科诊所。其中包括2330名超过16岁的患者，并被诊断为五种皮肤病（牛皮癣，慢性皮炎，祛痘，头发生长障碍和白癜风）。使用12项药物粘附量表来量化平均粘附得分。结果：牛皮癣或慢性皮炎的患者比痤疮的患者依赖于痤疮，头发生长障碍或白癜风。口腔治疗和光疗具有比注射或局部处理更高的平均粘附分数。在女性，单身患者中发现高粘附;那些没有觉得从使用治疗侮辱的人;那些没有难以治疗的经验的人;那些没有痛苦的人;那些用习惯接受治疗的人;那些没有缺乏治疗响应的人;那些与皮肤科医生合作的人;和患者在暴露区域中存在病变。逐步多个线性回归也用于识别与遵守得分相关的独立变量。结论：牛皮癣和慢性皮炎患者具有最低的平均粘附分数。在口腔药物上的患者具有最高的依从性评分，而那些局部药物的患者得分最低。对高粘附相关因素的深思熟虑对最佳治疗结果很重要。

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