在多个处方方的患者中停止处方药:一个社会生态模型
Armando Silva Almodóvar1, Michelle S Keller2, Jiha Lee3
1Institute of Therapeutic Innovations and Outcomes (ITIO), The Ohio State University College of Pharmacy, Columbus, Ohio, USA.
Journal of the American Geriatrics Society
|November 9, 2023
概括
停止处方的干预措施需要仔细规划,以应对多个处方者所带来的挑战. 一个新的社会生态模型有助于了解处方者网络如何影响药物停用成功.
科学领域:
- 药理学和卫生服务研究 研究 药理学和卫生服务研究
- 药物管理和患者安全
背景情况:
- 降低处方包括减少或停止使用药物.
- 由于信息碎片化和潜在的药物相互作用,多个处方者可能会使抑郁症复杂化.
研究的目的:
- 开发一种社会生态模型,以了解多个处方者对抑郁症干预措施的影响.
- 在复杂的护理环境中,确定成功停止药物治疗的障碍和促进因素.
主要方法:
- 一个国际工作组开发了一种社会生态模型.
- 该模型考虑了个人,人际,组织和社会的影响层面.
- 概述了未来调查的研究议程.
主要成果:
- 多个处方医生为处方实施带来了独特的挑战.
- 护理和信息的碎片化阻碍了有效的药物停用.
- 提出了一个社会生态框架来指导干预的发展.
结论:
- 处方干预措施必须考虑到处方者格局.
- 了解社会生态环境对于成功的药物管理至关重要.
- 未来的研究应该专注于优化在多处方者设置中的抑郁处方.
更多相关视频
相关概念视频
Drug Therapy
47
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
47
Drug Abuse and Addiction: Pharmacological Phenomena
489
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
489
Antidepressant Drugs: MAOIs and Other Agents
252
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
252
Antidepressant Drugs: Overview
524
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
524
Prescription, Nonprescription and Orphan Drugs
742
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
742
Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576


