改善风湿病患者用药依从性的最佳证据总结

doi:10.3969/j.issn.1006-9143.2026.01.009

天津护理 ›› 2026, Vol. 34 ›› Issue (1): 50-57.DOI: 10.3969/j.issn.1006-9143.2026.01.009

改善风湿病患者用药依从性的最佳证据总结

侯嘉宁¹ 赵华¹ 苗华丽² 刘宇丹¹ 杨佳乐¹ 刘星语¹

1. 山西中医药大学护理学院，山西晋中 030619；2.山西医科大学第三医院山西白求恩医院（山西医学科学院）同济山西医院

出版日期:2026-02-28 发布日期:2026-02-25
基金资助:
山西省哲学社会科学规划课题（2025YB158）；山西白求恩医院科研课题（2024YH24）

Best evidence summary for improving medication adherence in patients with rheumatic diseases

HOU Jianing¹, ZHAO Hua¹, MIAO Huali², LIU Yudan¹, YANG Jiale¹, LIU Xingyu¹

(1. School of Nursing, Shanxi University of Chinese Medicine, Jinzhong Shanxi 030619;2. The Third Hospital of Shanxi Medical University)

Online:2026-02-28 Published:2026-02-25

摘要/Abstract

摘要： 目的：系统检索、提取、汇总和分析改善风湿病患者用药依从性的最佳证据，为提高风湿病患者用药依从性提供参考。方法：遵循“5S”证据金字塔模型，由上而下循序检索国内外相关数据库中关于改善风湿病患者用药依从性的文献，包括指南、专家共识、证据总结、系统评价、Meta分析和临床决策等。由2名研究者独立进行文献筛选和质量评价，根据主题提取和汇总相关证据。结果：共纳入12篇文献，包括2篇指南、3篇Meta分析、7篇系统评价。从依从性的评估与分类、教育干预、行为干预、心理-社会干预、技术工具辅助干预、沟通与共享决策、优化治疗方案7个方面总结出28条最佳证据。结论：医护人员可根据患者偏好、应用环境等情况，选择最佳证据应用于风湿病患者，以达到提高用药依从性的目的。

关键词: 风湿病, 用药依从性, 用药管理, 证据总结

Abstract: Objective: To systematically search, extract, summarize, and analyze the best evidence for improving medication adherence in patients with rheumatic diseases, providing a reference for enhancing medication adherence in these patients. Methods: Following the "5S" evidence pyramid model, a sequential search was conducted from top to bottom in domestic and international relevant databases for literature on improving medication adherence in patients with rheumatic diseases, including guidelines, expert consensus, evidence summaries, systematic reviews, meta-analyses, and clinical decision-making. Two researchers independently conducted literature screening and quality assessment, and relevant evidence was extracted and summarized according to specific topics. Results: A total of 12 articles were included, including 2 guidelines, 3 meta-analyses, and 7 systematic reviews. 28 pieces of best evidence in 7 aspects were summarized, including assessment and classification, educational interventions, behavioral interventions, psychosocial interventions, technology-assisted interventions, communication and shared decision-making, and optimization of the treatment regimens. Conclusion: Medical staff can apply the best evidence to patients with rheumatic diseases based on the patient's preferences and application context to improve their medication adherence.

Key words: Rheumatic diseases, Medication adherence, Medication management, Evidence summary

侯嘉宁赵华苗华丽刘宇丹杨佳乐刘星语. 改善风湿病患者用药依从性的最佳证据总结[J]. 天津护理, 2026, 34(1): 50-57.

HOU Jianing, ZHAO Hua, MIAO Huali, LIU Yudan, YANG Jiale, LIU Xingyu. Best evidence summary for improving medication adherence in patients with rheumatic diseases[J]. Tianjin Journal of Nursing, 2026, 34(1): 50-57.

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改善风湿病患者用药依从性的最佳证据总结

Best evidence summary for improving medication adherence in patients with rheumatic diseases

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