对于需要息治疗的患者来说,经验证的药物减缓仪器:系统性审查
Frangie Kallas de Andrade1, Raziel Prado Ignacio Nunes1, Maria Olívia Barboza Zanetti2
1University of São Paulo (USP), School of Pharmaceutical Sciences of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil.
概括
降低处方工具可以减少不合适的药物和成本,对于寿命有限的老年人来说. 然而,它们对患者安全和生活质量的影响需要进一步研究.
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.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 多药在患有生命限制疾病的患者中很常见,增加了风险.
- 降低处方工具的目的是减轻与过度药物使用相关的负面结果.
研究的目的:
- 确定用于息治疗患者的经过验证的减压仪器.
- 评估抑郁症对临床,人文和经济结果的影响.
主要方法:
- 进行了对多个数据库 (LILACS,PubMed,EMBASE,Cochrane,Web of Science) 的系统审查.
- 包括的研究是实验性或观察性,使用手动参考搜索.
- 两个独立的研究人员进行了查,资格,提取和偏差风险评估.
主要成果:
- 只有一个研究符合纳入标准,这是一个随机对照试验,具有高整体偏差风险.
- 在干预组中,STOPPFrail工具显著减少了不合适的药物和每月的费用.
- 在医院表现,跌倒,骨折,死亡率或生活质量方面没有发现显著差异.
结论:
- 该STOPPFrail工具显示,在寿命有限的老年人中,有可能减少不合适的药物和成本.
- 在临床实践中,对于息护理中验证的减记工具的证据有限.
- 需要进一步的研究来澄清对患者安全和人文成果的影响.
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