衡量老年人药物管理能力障碍的工具:一个范围审查
Bincy Baby1, Annette McKinnon2, Kirk Patterson2
1School of Pharmacy, University of Waterloo, Waterloo, ON, Canada.
BMC geriatrics
|March 27, 2024
概括
这次审查发现了44个工具来评估老年人药物管理障碍,但没有一个工具涵盖了所有因素. 临床医生应使用多种工具进行全面评估.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 制药科学 制药科学
背景情况:
- 药物管理能力对于老年人遵守药物管理能力至关重要.
- 身体,认知,感官,动机和环境因素影响药物管理.
- 识别评估这些障碍的工具对于防止不遵守是至关重要的.
研究的目的:
- 确定测量身体,认知,感官,动机和环境障碍的工具,以帮助老年人自我管理药物.
- 评估所识别的工具在多大程度上覆盖了这些各种障碍.
主要方法:
- 使用Arksey和O'Malley的框架和PRISMA-E-ScR检查清单进行了范围审查.
- 在2022年6月,在多个数据库 (PubMed,Embase,CINAHL,PsycINFO,Scopus) 进行了文献搜索.
主要成果:
- 确定了44个验证的工具来评估药物管理障碍.
- 工具测量了障碍物组合 (n=19) 或特定障碍物,如认知 (n=13),视觉 (n=5),环境 (n=3),听觉 (n=1) 和动机 (n=1).
- 大多数工具报告有效性和可靠性;SMAT,MMS,RAT,HOME-Rx修订,MMAA显示有前途.
结论:
- 没有一个单一的工具能够全面地衡量家庭药物管理的五大关键障碍.
- 临床医生应该使用现有工具的组合来进行彻底的评估.
- 需要进一步的研究来开发一个全面的工具,同时评估多个障碍.
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