使用移动药物管理应用程序对多药老年患者的药物坚持和再入院的影响:一项随机对照试验
Hossein Poorcheraghi1, Reza Negarandeh2, Shahzad Pashaeypoor3
1Dept. of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC health services research
|November 3, 2023
概括
一个移动药物管理应用程序显著改善了药物坚持,并减少了老年人多药的不良事件. 这项技术提高了老年人群的疾病管理和患者结果.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 临床药房 临床药房
背景情况:
- 多药和复杂的药物治疗方案对老年人构成重大挑战.
- 这些挑战可能会对药物坚持产生负面影响,并导致不正确的药物使用.
- 拥有多种药物的老年人由于药物管理困难而面临更高的不良健康事件风险.
研究的目的:
- 为了评估移动药物管理应用程序对药物遵守的影响.
- 评估该申请对多药老年人再入院率的影响.
- 为了确定移动应用程序是否可以改善多种药物治疗的老年患者的疾病管理.
主要方法:
- 一个随机对照试验,涉及192名伊朗老年人与多药.
- 参与者被分配到一个病例组 (使用移动应用程序) 或对照组.
- 在8周的时间里,使用验证的工具和统计分析,测量了药物坚持和再入院.
主要成果:
- 移动药物管理应用程序显著改善了药物坚持水平 (p < 0.001).
- 干预组中观察到不良事件的显著减少,包括重新住院和药物错误 (p < 0.05).
- 该应用程序还提高了药物使用的准确性,并减少了像跌倒和血压/葡萄糖不规则等事件.
结论:
- 为老年人设计的移动药物管理应用程序可以有效地提高药物坚持.
- 这些应用程序有助于减少不良事件,并改善老年人慢性疾病的整体管理.
- 利用这种技术为使用多药的老年人提供了一种有前途的方法,以更好地管理疾病期.
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