老年人,药物使用和长期护理药剂师:一个回顾性队列研究
João Rafael Gonçalves1, Betsy L Sleath2, Mariana Cerdeira3
1Pharmacy Practice & Health Communication Lab, iMed.ULisboa, Lisbon, Portugal joaorvg@gmail.com.
European journal of hospital pharmacy : science and practice
|September 27, 2023
概括
一个药剂师的药剂师.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 临床药房实践 临床药房实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期护理设施 (LTCF) 面临药物管理方面的挑战,包括多药和潜在不合适的药物 (PIM).
- 药剂师在优化药物使用和改善LTCF患者治疗结果方面的作用需要进一步研究.
研究的目的:
- 评估药剂师存在对LTCF药物使用模式的影响.
- 评估老年患者药物数量,抗胆固醇负担和PIMs的变化.
主要方法:
- 在30个月的时间里,对1366名患者 (≥65岁) 在三个LTCF进行了回顾性队列研究.
- 收集了关于患者人口统计,住院类型,药剂师存在和药物治疗资料的数据.
- 结果变量:药物数量,抗胆固醇负担 (抗胆固醇认知负担量表) 和PIMs (欧盟7号-PIM清单).
主要成果:
- 所有的结果变量从录取到释放都显著增加.
- 药剂师的存在与药品数量 (p<0.001) 和抗胆固醇负担得分 (p<0.001) 的显著改善有关.
- 没有观察到药剂师存在对潜在不合适药物的显著影响 (p=0.642);效果大小小小.
结论:
- 长期护理药剂师的存在对药物使用产生了积极的影响,减少了多药和抗胆固醇药物的负担.
- 综合的跨专业方法对于解决PIMs,抗胆固醇负担和多药性药物至关重要,特别是在解药时.
关键词:
与药物相关的副作用和不良反应滥用药物滥用药物滥用药物滥用药物滥用药物滥用药物基于证据的医学基于证据的医学.老年人的病情.医学上的错误医疗保健的质量 医疗保健的质量安全的安全的安全的安全的安全.更多相关视频
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