综合性老年人医师主导的ME医疗评估 (CHARMER):对一家医院的可行性研究的协议,描述行为改变干预措施
Sion Scott1, Bethany Atkins1, Jacqueline M Martin-Kerry1
1School of Healthcare, College of Life Sciences, University of Leicester, Leicester, UK.
BMJ open
|August 4, 2023
概括
这项研究测试了一种新的干预措施,以帮助医生和药剂师在老年医院患者中不再处方不必要的药物. 目标是通过使减缓处方成为常规实践来提高药物安全性和患者的结果.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 超过50%的老年人接受药物,其危害风险超过益处.
- 预计会对不合适的药物进行主动的处方,但在医院中并非常规.
- 老年人和护理人员预计在住院期间会进行药物审查.
研究的目的:
- 开发和测试由医生主导的综合性老年医学评估 (CHARMER) 干预措施.
- 评估研究程序和CHARMER实施的可行性和可接受性.
- 为老年医生和药剂师提供设备,以便在老年住院成年人中主动处方.
主要方法:
- 在英国四家急性病医院 (三个干预,一个控制) 进行了双臂可行性研究.
- 目标样本为400名患者.
- 主要结果:参与者的招聘和退出率. 二次结果:再接收,死亡率和生活质量.
- 混合方法分析包括定量数据,观察,采访和与理论框架映射的专题分析.
主要成果:
- 将评估研究流程的可行性和可接受性以及CHARMER干预实施情况.
- 将分析招聘和退出率.
- 通过定性数据探索影响实施的因素.
结论:
- 该CHARMER研究将提供关键数据,关于新型抑郁症干预的可行性和可接受性.
- 调查结果将为设计一项更大规模的试验提供信息,以评估主动性抑郁症的有效性.
- 这项研究旨在提高医院环境中老年人的药物适当性和安全性.
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