{"id":10565,"date":"2023-08-01T12:14:36","date_gmt":"2023-08-01T04:14:36","guid":{"rendered":"https:\/\/edu.freezhao.com\/?p=10565"},"modified":"2023-08-01T12:14:40","modified_gmt":"2023-08-01T04:14:40","slug":"gout-adherencer","status":"publish","type":"post","link":"https:\/\/edu.freezhao.com\/en\/gd\/2023\/08\/gout-adherencer\/","title":{"rendered":"\u6bd5\u8bbe\u300a\u75db\u98ce\u4f9d\u4ece\u6027\u4f18\u5316\u4ea7\u54c1\u300b"},"content":{"rendered":"

Adherence\u75db\u98ce\u4f9d\u4ece\u6027\u4f18\u5316\u4ea7\u54c1\u662f\u62112023\u5e74\u7684\u6bd5\u4e1a\u8bbe\u8ba1\u4f5c\u54c1\uff0c\u6211\u5c06\u4ece\u4ee5\u4e0b\u51e0\u4e2a\u65b9\u9762\u6765\u4ecb\u7ecd\u4e00\u4e0b\u6211\u7684\u4f5c\u54c1\uff1a<\/p>\n\n\n\n

1.\u8bbe\u8ba1\u80cc\u666f<\/a><\/p>\n\n\n\n

2.\u8bbe\u8ba1\u7075\u611f\u4e0e\u65b9\u6848\u786e\u5b9a<\/a><\/p>\n\n\n\n

3.\u4ea7\u54c1\u8bbe\u8ba1\u8fc7\u7a0b\u4e0e\u6700\u7ec8\u5448\u73b0<\/a><\/p>\n\n\n\n

<\/p>\n\n\n\n

1.\u8bbe\u8ba1\u80cc\u666f<\/h2>\n\n\n\n

\u6211\u8eab\u8fb9\u5f88\u591a\u957f\u8f88\u90fd\u6df1\u53d7\u901a\u98ce\u7684\u82e6\u607c\uff0c\u6bcf\u5230\u4e00\u4e9b\u7279\u6b8a\u5b63\u8282\u4ed6\u4eec\u90fd\u4f1a\u5f00\u59cb\u53d1\u75c5\uff0c\u5e76\u4e14\u4e00\u5e74\u590d\u4e00\u5e74\u6ca1\u6709\u597d\u8f6c\u3002\u75db\u98ce\u5e76\u4e0d\u662f\u4ec0\u4e48\u4f1a\u8981\u4eba\u6027\u547d\u7684\u75be\u75c5\uff0c\u5374\u80fd\u4e00\u76f4\u6298\u78e8\u8fd9\u90e8\u5206\u4eba\uff0c\u5f88\u5c11\u89c1\u5230\u4ed6\u4eec\u7684\u75c5\u60c5\u6709\u6240\u597d\u8f6c\u3002\u8fd9\u7a76\u7adf\u662f\u533b\u5b66\u4e0a\u7684\u95ee\u9898\u8fd8\u662f\u51fa\u73b0\u5728\u60a3\u8005\u7684\u95ee\u9898\uff1f\u8fd9\u662f\u4e00\u4e2a\u503c\u5f97\u63a2\u8ba8\u7684\u95ee\u9898\u3002<\/p>\n\n\n\n

\u75db\u98ce\u662f\u4e00\u79cd\u4ee3\u8c22\u6027\u75be\u75c5\uff0c\u5b83\u7684\u4e3b\u8981\u7279\u5f81\u662f\u8840\u6db2\u4e2d\u5c3f\u9178\u542b\u91cf\u8fc7\u9ad8\u3002\u7136\u800c\uff0c\u75db\u98ce\u60a3\u8005\u5728\u964d\u5c3f\u9178\u6cbb\u7597\u4e2d\u7684\u4f9d\u4ece\u6027\u666e\u904d\u4e0d\u9ad8\uff0c\u8fd9\u4f7f\u5f97\u6cbb\u7597\u6548\u679c\u53d7\u5230\u5f88\u5927\u7684\u5f71\u54cd\u3002\u56e0\u6b64\uff0c\u6211\u7684\u76ee\u6807\u662f\u8bbe\u8ba1\u4e00\u5957\u4ea7\u54c1\uff0c\u63d0\u9ad8\u75db\u98ce\u60a3\u8005\u5bf9\u964d\u5c3f\u9178\u6cbb\u7597\u7684\u4f9d\u4ece\u6027\uff0c\u4ece\u800c\u6539\u5584\u4ed6\u4eec\u7684\u75c5\u60c5\u548c\u751f\u6d3b\u8d28\u91cf\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u5f71\u54cd\u75db\u98ce\u60a3\u8005\u6cbb\u7597\u7684\u56e0\u7d20<\/em><\/p>\n\n\n\n

\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u5c06\u957f\u671f\u6cbb\u7597\u7684\u4f9d\u4ece\u6027\u5b9a\u4e49\u4e3a\u201c<\/p>\n\n\n\n

\n

\u201cthe extent to which a person\u2019s behavior\u2013taking medication, following a diet, and\/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider\u201d <\/p>\n\n\n\n

\u201d\u901a\u8fc7\u4e0e\u533b\u7597\u670d\u52a1\u4eba\u5458\u7684\u6c9f\u901a\uff0c\u542c\u53d6\u76f8\u5e94\u5efa\u8bae\u5e76\u9488\u5bf9\u996e\u98df\u63a7\u5236\u3001\u751f\u6d3b\u98ce\u683c\u7684\u6539\u53d8\u800c\u4ed8\u8bf8\u7684\u4e2a\u4eba\u884c\u4e3a\u7a0b\u5ea6\u3002\u201c<\/p>\nWorld Health Organization.\u00a0(\u200e2003)\u200e.\u00a0Adherence to long-term therapies : evidence for action.\u00a0World Health Organization.\u00a0https:\/\/apps.who.int\/iris\/handle\/10665\/42682<\/a><\/cite><\/blockquote>\n\n\n\n

<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u5f71\u54cd\u75db\u98ce\u60a3\u8005\u4f9d\u4ece\u6027\u7684\u56e0\u7d20<\/em><\/p>\n\n\n\n

\u56e0\u4e3a\u75db\u98ce\u4e0d\u662f\u957f\u671f\u4e00\u76f4\u72af\u75c5\u7684\u75be\u75c5\uff0c\u800c\u662f\u6709\u5b63\u8282\u6027\u7684\uff0c\u4f46\u662f\u5373\u4f7f\u6ca1\u6709\u72af\u75c5\u4e5f\u4ecd\u7136\u5904\u4e8e\u6f5c\u4f0f\u671f\u3002\u5f88\u591a\u75c5\u4eba\u4f1a\u201c\u597d\u4e86\u4f24\u75a4\u5fd8\u4e86\u75bc\u201d\uff0c\u5728\u6ca1\u6709\u72af\u75c5\u65f6\u4e0d\u6ce8\u610f\u7ba1\u7406\u81ea\u5df1\u7684\u996e\u98df\uff0c\u5728\u75bc\u75db\u65f6\u53c8\u96be\u4ee5\u5fcd\u53d7\uff0c\u6240\u4ee5\u5982\u4f55\u8ba9\u60a3\u8005\u80fd\u591f\u65e5\u5e38\u7ba1\u7406\u6210\u4e3a\u4e86\u63d0\u9ad8\u75db\u98ce\u6cbb\u6108\u7387\u7684\u5173\u952e\u56e0\u7d20\u3002<\/p>\n\n\n\n

<\/p>\n\n\n\n

2.\u8bbe\u8ba1\u6982\u5ff5\u4e0e\u65b9\u6848\u786e\u5b9a<\/h2>\n\n\n\n

\u8bbe\u8ba1\u6982\u5ff5\uff1a\u4eba\u4f53\u4e2d\u53d7\u75db\u98ce\u5f71\u54cd\u90e8\u4f4d\u662f\u5404\u4e2a\u5173\u8282\uff0c\u5176\u4e2d\u8e1d\u5173\u8282\u662f\u6700\u4e3a\u4e25\u91cd\u7684\u3002\u6240\u4ee5\u6211\u60f3\u5728\u60a3\u8005\u6ca1\u6709\u6ce8\u610f\u996e\u98df\u4e60\u60ef\u65f6\u6a21\u62df\u75db\u98ce\u8f7b\u5fae\u523a\u6fc0\u6309\u6469\u60a3\u8005\u8e1d\u5173\u8282\u7684\u7a74\u4f4d\uff0c\u4ee5\u6b64\u63d0\u9192\u60a3\u8005\u6ce8\u610f\u996e\u98df\u95ee\u9898\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

3.\u4ea7\u54c1\u8bbe\u8ba1\u8fc7\u7a0b\u4e0e\u6700\u7ec8\u5448\u73b0<\/h2>\n\n\n\n

\u6280\u672f\u652f\u6301\uff1a<\/strong><\/p>\n\n\n\n

\u53ef\u7a7f\u6234\u6c57\u6db2\u4f20\u611f\u5668\uff1a\u4e3a\u4e86\u8fbe\u5230\u76d1\u6d4b\u60a3\u8005\u5c3f\u9178\u6c34\u5e73\u7684\u76ee\u7684\uff0c\u6211\u627e\u5230\u4e00\u79cd\u80fd\u901a\u8fc7\u68c0\u6d4b\u60a3\u8005\u6c57\u6db2\u6210\u5206\u68c0\u67e5\u51fa\u60a3\u8005\u5c3f\u9178\u6c34\u5e73\u662f\u5426\u5347\u9ad8\u7684\u82af\u7247\u3002\u8be5\u82af\u7247\u53ef\u4ee5\u901a\u8fc7\u5206\u6790\u4eba\u7684\u6c57\u6db2\u6765\u76d1\u6d4b\u4eba\u8840\u6db2\u4e2d\u4ee3\u8c22\u7269\u548c\u8425\u517b\u7269\u8d28\u7684\u6c34\u5e73\uff0c\u80fd\u591f\u5b9e\u73b0\u9ad8\u6548\u7684\u5fae\u6d41\u4f53\u6c57\u6db2\u91c7\u6837\uff0c\u654f\u611f\u7684\u5206\u5b50\u4f20\u611f\u548c\u591a\u8def\u751f\u547d\u4f53\u5f81\u611f\u3002\u57fa\u4e8e\u77f3\u58a8\u70ef\u7684\u5316\u5b66\u4f20\u611f\u5668\u5b9e\u73b0\u4e86\u5bf9\u4eba\u4f53\u6c57\u6db2\u4e2d\u5c3f\u9178\u542b\u91cf\u7684\u5feb\u901f\u548c\u51c6\u786e\u68c0\u6d4b\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u53ef\u7a7f\u6234\u6c57\u6db2\u4f20\u611f\u5668\u5de5\u4f5c\u539f\u7406<\/em><\/p>\n\n\n\n

TENS\u4f4e\u9891\u8109\u51b2\u6280\u672f\uff1a\u76ae\u795e\u7ecf\u7535\u523a\u6fc0\u662f\u4e00\u79cd\u4f7f\u7528\u7535\u6d41\u6fc0\u6d3b\u795e\u7ecf\u4ee5\u51cf\u8f7b\u75bc\u75db\u7684\u65b9\u5f0f\u3002TENS \u88c5\u7f6e\u662f\u4e00\u79cd\u5c0f\u578b\u8bbe\u5907\uff0c\u5b83\u5229\u7528\u653e\u7f6e\u5728\u76ae\u80a4\u4e0a\u5e76\u901a\u8fc7\u7535\u7ebf\u8fde\u63a5\u5230\u88c5\u7f6e\u7684\u7535\u6781\u6765\u89e3\u51b3\u76ee\u6807\u533a\u57df\u7684\u75bc\u75db\u3002\u901a\u8fc7\u76ae\u80a4\u5c06\u7279\u5b9a\u7684\u4f4e\u9891\u8109\u51b2\u6ce2\u523a\u6fc0\u611f\u89c9\u795e\u7ecf\u7ea4\u7ef4\u8fbe\u5230\u9707\u52a8\u63d0\u9192\u6548\u679c\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

TENS\u4f4e\u9891\u8109\u51b2\u5de5\u4f5c\u539f\u7406<\/em><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u6211\u4e70\u6765\u7528\u6765\u4f53\u9a8c\u548c\u62c6\u89e3\u7684TENS\u4f4e\u9891\u8109\u51b2\u4ea7\u54c1<\/em><\/p>\n\n\n\n

<\/p>\n\n\n\n

Design process<\/strong><\/p>\n\n\n\n

1.\u8349\u56fe\uff1a\u5728\u7ed8\u5236\u8349\u56fe\u7684\u8fc7\u7a0b\u4e2d\uff0c\u7531\u4e8e\u8be5\u4ea7\u54c1\u662f\u9700\u8981\u957f\u671f\u4f69\u6234\u4f7f\u7528\u6cbb\u7597\u7684\uff0c\u6240\u4ee5\u6211\u9700\u8981\u627e\u5230\u6700\u9002\u5408\u811a\u8e1d\u7ed3\u6784\u66f2\u7ebf\u7279\u70b9\u7684\u9020\u578b\u7279\u70b9\u8fdb\u884c\u4ea7\u54c1\u8bbe\u8ba1\uff0c\u4ee5\u786e\u4fdd\u7528\u6237\u5728\u4f7f\u7528\u8fc7\u7a0b\u4e2d\u4e0d\u4f1a\u611f\u53d7\u5230\u4e0d\u9002\u3002\u5e76\u4e14\u8981\u4e86\u89e3\u4e0a\u8ff0\u4e24\u79cd\u4e3b\u8981\u6280\u672f\u88c5\u7f6e\u7684\u5927\u5c0f\u548c\u5b89\u88c5\u65b9\u6cd5\uff0c\u624d\u80fd\u6b63\u786e\u7684\u7ed3\u5408\u8fd0\u7528\u4e24\u79cd\u6280\u672f\uff0c\u7ed9\u75c5\u4eba\u5e26\u6765\u6700\u6709\u6548\u7684\u6cbb\u7597\u4f53\u9a8c\u3002<\/p>\n\n\n\n

\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n<\/figure>\n\n\n\n

\u8349\u56fe\u4ece\u65e0\u5230\u6709\u4e00\u6b65\u6b65\u7684\u63a8\u5bfc\u8fc7\u7a0b<\/em><\/p>\n\n\n\n

2.\u5efa\u6a21\uff1a\u6211\u6700\u7ec8\u786e\u5b9a\u7684\u8349\u56fe\u9020\u578b\u5f62\u6001\u6709\u673a\u66f2\u7ebf\u8f83\u591a\uff0c\u6240\u4ee5\u5efa\u6a21\u521d\u671f\u6709\u4e9b\u66f2\u9762\u5efa\u6a21\u7684\u56f0\u96be\uff0c\u51cf\u6d88\u9762\u662f\u6211\u8ba4\u4e3a\u8fd9\u4e2a\u4ea7\u54c1\u6bd4\u8f83\u96be\u5efa\u7684\u5730\u65b9\uff0c\u4f46\u662f\u5728\u6700\u7ec8\u6539\u4e86\u5f88\u591a\u7248\u540e\uff0c\u8fd8\u662f\u5efa\u51fa\u6765\u4e86\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u7280\u725b\u4e2d\u5efa\u597d\u7684\u6a21\u578b<\/em><\/p>\n\n\n\n

3.\u6e32\u67d3\uff1a\u6211\u5148\u662f\u5927\u91cf\u641c\u7d22\u6848\u4f8b\u4ea7\u54c1\uff0c\u627e\u5230\u6211\u7684\u65b9\u5411\u7684\u60c5\u7eea\u7248\uff0c\u7136\u540e\u671d\u8fd9\u4e2a\u65b9\u5411\u914d\u8272\u6e32\u67d3\u6750\u8d28\u3002\u9996\u5148\u5148\u5bf9\u4ea7\u54c1\u8fdb\u884c\u914d\u8272\u65b9\u6848\u7684\u9009\u53d6\uff0c\u5e76\u4e14\u5bf9\u7167\u4e86\u6f58\u901a\u8272\u5361\u4ee5\u4fbf\u4e8e\u4e0e\u55b7\u6f06\u4e0a\u8272\u5e08\u5085\u534f\u8c03\u597d\u989c\u8272\u65b9\u6848\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u914d\u8272\u65b9\u6848<\/em><\/p>\n\n\n\n

\u7136\u540e\u518d\u6839\u636e\u4ea7\u54c1\u4e0d\u540c\u90e8\u4f4d\u6709\u4e0d\u540c\u7684\u529f\u80fd\u5b9a\u4f4d\uff0c\u6750\u8d28\u4e5f\u662f\u4e0d\u4e00\u6837\u7684\uff0c\u6bd4\u5982\u9760\u8fd1\u8e1d\u5173\u8282\u7684\u53ef\u66f4\u6362\u4f4e\u9891\u8109\u51b2\u5957\u5c31\u662f\u8f6f\u80f6\u6750\u8d28\uff0c\u5957\u5728\u811a\u8155\u4e0a\u7684\u4e3b\u4f53\u7ed3\u6784\u8d34\u5408\u76ae\u80a4\u90e8\u4f4d\u4e5f\u8981\u662f\u6c57\u6db2\u53ef\u6e17\u900f\u7684\u6750\u8d28\u7b49\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u6700\u7ec8\u6e32\u67d3\u6548\u679c<\/em><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n

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Adherence\u75db\u98ce\u4f9d\u4ece\u6027\u4f18\u5316\u4ea7\u54c1\u662f\u62112023\u5e74\u7684\u6bd5\u4e1a\u8bbe\u8ba1\u4f5c\u54c1\uff0c\u6211\u5c06\u4ece\u4ee5\u4e0b\u51e0\u4e2a\u65b9\u9762\u6765\u4ecb\u7ecd\u4e00\u4e0b\u6211\u7684\u4f5c\u54c1\uff1a 1. 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