一般实践药剂师领导的抗精神病身体健康监测:一个前性干预范围研究
Chris F Johnson1, Fiona Ingram2, Fiona Thomson3
1Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Family practice
|January 5, 2024
概括
药剂师主导的干预改善了服用抗精神病药物的患者的心脏代谢监测. 这种方法识别并解决了显著的心血管和糖尿病风险,提高了一般实践中的患者护理.
科学领域:
- 一般的做法一般的做法
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 患有严重精神疾病的患者面临过早死亡,通常是由于心脏代谢疾病.
- 抗精神病药物虽然对心理健康至关重要,但可以使这些情况恶化.
- 当前对服用抗精神病药物的患者的身体健康监测经常不足.
研究的目的:
- 为了扩大通用实践临床药剂师 (GPCP) 领导干预的范围.
- 为了优化对心脏代谢监测指南的遵守.
- 为服用抗精神病药物的患者提供全面的多药房审查.
主要方法:
- 未来的干预范围研究在三个城市的一般实践 (一个常规护理,两个干预).
- 受处方口服抗精神病药物的18-65岁患者被邀请参加监测和药物评估 (2022年1月至12月).
- 分析了干预,转诊和匿名的前/后审查数据.
主要成果:
- 在干预实践中,心脏代谢监测增加了19-58%,而在常规护理中增加了7%.
- 三分之二的患者参与了药物评估,从而导致了临床行动.
- 发现了7%的糖尿病前/糖尿病新病例和6%的高心血管风险 (他类药物启动).
结论:
- 一个由药剂师领导的,多学科的通用实践方法可以有效地提高心脏代谢监测.
- 该模型显示了识别和管理关键糖尿病和心血管风险因素的潜力.
- 优化监测和审查对于改善这一群体的身体健康结果至关重要.
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