在急性护理后过渡到家庭的老年人中,处方的挑战
Jinjiao Wang1, Jenny Y Shen2, Fang Yu3
1Elaine Hubbard Center for Nursing Research on Aging, University of Rochester, School of Nursing, Rochester, NY, USA.
Journal of the American Medical Directors Association
|November 1, 2023
概括
在家庭医疗保健中对老年人的有害药物的处方面临由于时间限制,患者混乱和沟通缺口的挑战. 改善药物管理需要更好的时间,优先级,患者教育和团队协调.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 在家庭医疗保健 (HHC) 中的老年人经常使用具有高危害潜力或低益处的药物.
- 停止这些药物的处方对于患者的安全至关重要,但也带来了重大挑战.
研究的目的:
- 探讨各种利益相关者的观点,以了解在为后急性HHC患者服用药物时遇到的困难.
- 在这个脆弱人群中确定成功戒药障碍的障碍.
主要方法:
- 与关键利益相关者进行了定性个人访谈,包括老年患者,HHC护士,药剂师和处方医生.
- 常量比较方法被用来分析来自美国九个州的参与者采访数据.
主要成果:
- 确定了四个主要挑战:初级保健医生的时间限制和缺乏优先级,患者的药物混,护理团队成员之间的沟通困难,以及HHC护士和药剂师在抑郁症讨论中的有限角色.
- 利益关方强调了在放任后会面的时间和分散的沟通问题.
结论:
- 成功的后急性抑郁症需要解决系统性问题,如护理时间,临床医生的时间,患者教育和专业间的沟通.
- 专注于护理过渡协调,优先考虑处方,增强患者理解和同步电子健康记录的干预措施是必不可少的.
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