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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Optimizing treatment outcomes with phosphodiesterase type 5 inhibitors for erectile dysfunction: opening windows to enhanced sexual function and overall health.
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Optimizing treatment outcomes with phosphodiesterase type 5 inhibitors for erectile dysfunction: opening windows to enhanced sexual function and overall health.

机译:使用5型磷酸二酯酶抑制剂治疗勃起功能障碍以优化治疗效果:打开窗户以增强性功能和整体健康状况。

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PURPOSE: Phosphodiesterase type 5 (PDE5) inhibitors have proved to be efficacious, safe, and well tolerated, in clinical trials and practice, for men with erectile dysfunction (ED). However, many patients are not satisfied with treatment and discontinue it prematurely. This review discusses evidence-based strategies that nurse practitioners (NPs) can use to improve diagnosis of ED, optimize patient outcomes, and identify opportunities to detect other potentially serious comorbid conditions. DATA SOURCES: This article was based on a previously published review, which involved a PubMed-MEDLINE search of the clinical literature from January 1, 1998 (year of sildenafil's approval in many markets), through August 30, 2008 (date of search). CONCLUSIONS: Strategies to optimize responses to PDE5 therapy are summarized by the mnemonic "EPOCH": Evaluating and educating to ensure realistic expectations of therapy; Prescribing a treatment individualized to the couple's needs and preferences; Optimizing drug dose/regimen and revisiting key educational messages at follow-up visits; Controlling comorbidities via lifestyle counseling, medications, and/or referrals; and Helping patients and their partners to seek other forms of therapy if they have decided not to use a PDE5 inhibitor. IMPLICATIONS FOR PRACTICE: The EPOCH inhibitors.
机译:目的:在临床试验和实践中,已证明5型磷酸二酯酶(PDE5)抑制剂对勃起功能障碍(ED)的男性有效,安全且耐受性良好。但是,许多患者对治疗不满意并过早中断治疗。这篇综述讨论了基于证据的策略,护士从业人员(NP)可以使用这些策略来改善ED的诊断,优化患者的预后并确定发现其他潜在的严重合并症的机会。数据来源:本文基于先前发表的综述,涉及从1998年1月1日(西地那非在许多市场获得批准的年份)到2008年8月30日(检索日期)的PubMed-MEDLINE临床文献检索。结论:助记符“ EPOCH”总结了优化对PDE5治疗的反应的策略:评估和教育以确保对治疗的现实期望。开出根据夫妇的需要和喜好个性化的治疗方法;优化药物剂量/方案并在随访中重新访问关键的教育信息;通过生活方式咨询,药物治疗和/或转诊控制合并症;如果患者及其伴侣决定不使用PDE5抑制剂,则可以帮助他们寻求其他形式的治疗。实践意义:EPOCH抑制剂。

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