评估一种增强的抑郁和焦虑查与有针对性的药剂师干预的评估
Journal of the American Pharmacists Association : JAPhA
|March 15, 2024
概括
社区药剂师可以查抑郁症和焦虑症,识别高风险患者的药物问题. 发现了查采用和随访方面的挑战,这表明需要更好地参与患者和处方医生的参与.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心理健康查 心理健康查
- 社区药房实践 社区药房实践
背景情况:
- 抑郁症是疾病的重要原因,经常没有被诊断出来.
- 建议进行更广泛的查,药剂师可能会协助.
- 社区药房为心理健康干预提供可访问点.
研究的目的:
- 评估社区药房中抑郁和焦虑查的可行性.
- 在高风险患者中识别与药物相关的问题 (MRPs).
- 为了记录药剂师的干预和处方者的反应.
主要方法:
- 一个中西部社区药房的试点研究 (2022年10月至2023年1月).
- 查使用患者健康问卷 (PHQ2) 和一般性焦虑障碍 (GAD2) 对于年龄在18-45岁的患者.
- 对高危人群进行PHQ9和GAD7的随访,随后与药剂师进行咨询.
主要成果:
- 在29名查患者中,41%的患者患有抑郁症或焦虑症的风险较高.
- 药剂师确定了常见的MRP,包括需要额外的治疗和不充分的剂量.
- 一半的高风险患者在两个月内改变了心理健康药物.
结论:
- 社区药剂师可以在心理健康查和管理中发挥作用.
- 在查采用和患者/处方者随访方面存在挑战.
- 需要进一步的战略来加强患者和处方医生的参与精神健康护理.
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