在瘤实践中,通过抑郁处方合理化处方
Burnis Raju1, Raushan Kumar Chaudhary1, Ananthesh L1
1Department of Pharmacy Practice, NGSM Institute of Pharmaceutical Sciences (NGSMIPS), Nitte (Deemed to be University), Mangalore, India.
概括
在瘤学中降低处方有助于减少潜在不合适的药物 (PIM) 和它们的不良影响. 这种以患者为中心的方法减轻了癌症护理中的多药和药物相互作用.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 老年病的医生 老年病的医生
背景情况:
- 癌症,癌症的治疗方法和并发症往往导致多药学.
- 多药制品会增加与药物相关问题的风险,包括药物不良反应和潜在不合适的药物 (PIMs).
- 患有癌症的老年人患有PIM的发病率很高,从41%到52%不等.
研究的目的:
- 提出一个综合的方法,在瘤学中减轻处方.
- 为在癌症护理中实施抑郁治疗提供一个算法.
主要方法:
- 使用PubMed,Scopus和Google Scholar进行文献搜索,使用关键词:"减缓处方"",潜在不合适的药物"和"癌症".
- 包括详细介绍癌症护理中抑郁症指南或工具的文章.
- 开发一个整合性算法,包括患者目标,预期寿命,药物审查和监测.
主要成果:
- 确定了用于PIM评估的癌症特定指南 (OncPal,oncoSTRIP) 和非特定工具 (BEER,START/STOPP,MAI).
- 提出了一种抑郁症的算法,包括以患者为中心的因素和系统的药物审查.
- 强调了抑郁症处方过程的组成部分:目标设定,药物评估和实施.
结论:
- 在瘤学中,减缓处方是一种以患者为中心的策略,用于管理PIMs.
- 这种方法有效地减轻了多药,药物相互作用和癌症患者的不良影响.
- 降低处方可以提高接受癌症治疗的个体的生活质量.
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