[老年人药物管理错误的原因:系统审查]
Audrey Bauguil1, Julie Berthou-Contreras2, Thomas Tannou3
1Pôle pharmaceutique, centre hospitalier Pays Charolais Brionnais, Paray-le-Monial, France.
老年人的药物管理错误 (MAE) 源于各种因素,主要是患者相关的身体和认知问题. 对药物不服药的进一步研究是需要全面理解的.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 老年人面临药物管理错误 (MAE) 的风险增加.
- 了解MAE的根本原因对于制定有效的预防策略至关重要.
- 现有的文献往往侧重于机构设置,可能忽视自给药的药物风险.
研究的目的:
- 系统地审查和分类已识别的导致老年人药物管理错误的原因.
- 综合现有文献的发现,提供MAE原因的全面概述.
- 发现当前研究中的差距,特别是关于在自给药的老年人中MAE的差距.
主要方法:
- 根据PRISMA方法进行了全面的文献审查.
- 在对2,798篇文章的选中,确定了15篇相关研究.
- 将已识别的MAE原因分为四个领域:与患者相关,与药物相关,与医疗保健专业人员相关以及组织/团队工作/环境相关.
主要成果:
- 在包括的研究中,共确定了56种不同的MAE原因.
- 与患者相关的因素,主要是身体和认知障碍,是最常被引用的原因.
- 大多数审查的研究是在医疗机构内进行的,这限制了对社区老年人自我管理的洞察力.
结论:
- 目前的综述强调了MAE的众多和多样化的原因,并强调了患者特定的因素.
- 这些发现表明需要进行补充研究,重点关注老年人群中药物不服药的问题.
- 在老年人中对MAE进行全面的风险因素分析,特别是那些自我管理的老年人,需要在机构环境之外进行进一步的调查.
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