药剂师主导的干预治疗慢性病患者的药物坚持:一个范围审查
Luke Calleja1, Beverley D Glass1, Alice Cairns2,3
1Pharmacy, College of Medicine and Dentistry, James Cook University, Townsville 4811, Australia.
Pharmacy (Basel, Switzerland)
|December 22, 2023
概括
药剂师的干预措施,如药物评价,可显著改善慢性病 (CKD) 患者的药物坚持. 虽然这些服务是有益的,但由于物流方面的挑战,它们的利用率不足.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性病 (CKD) 的患者经常管理复杂的药物治疗方案.
- 药剂师主导的干预措施对于改善CKD患者的药物坚持至关重要.
研究的目的:
- 审查有关药剂师在支持CKD患者药物坚持中的作用的文献.
- 突出这些干预措施对患者健康结果的影响.
主要方法:
- 使用乔安娜·布里格斯研究所框架进行的范围审查.
- 在2022年11月之前搜索了四个数据库 (Medline,Emcare,Scopus,Web of Science)
- 分析了32项研究,将发现分类为障碍,干预,感知,财务影响和结果.
主要成果:
- 八项研究证实,药剂师的干预措施 (和解,审查,咨询,教育) 对药物坚持有积极的影响.
- 药房服务是可以接受的,但由于人员和时间的限制,药房服务没有得到充分利用.
- 患者教育,包括疾病和药物信息,提高了患者的坚持.
结论:
- 药剂师主导的干预措施是改善CKD药物坚持的重要组成部分.
- 将药剂师纳入脏护理环境可能会改善患者的健康结果.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
95
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
95
Renal Failure: Dose Adjustments
94
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
94
Drug Therapy
45
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
45
Factors Affecting Renal Clearance: Drug Distribution and Drug Interactions
137
Renal clearance plays a pivotal role in drug elimination from the body and can be influenced by drug distribution and interactions. Understanding these factors is crucial in pharmacology as they impact the effectiveness and duration of drug therapy.
One important factor is the relationship between renal clearance and the apparent volume of distribution. Renal clearance tends to be inversely proportional to the apparent volume of distribution. Drugs with an extensive distribution volume or those...
One important factor is the relationship between renal clearance and the apparent volume of distribution. Renal clearance tends to be inversely proportional to the apparent volume of distribution. Drugs with an extensive distribution volume or those...
137
Heart Failure Drugs: Diuretics
394
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
394
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
436
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
436


