药剂师药物评价对老年患者的影响:一个范围审查
Nor Liana Che Yaacob1, Mathumalar Loganathan1,2, Nur Azwa Hisham3
1Department of Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Malaysia.
Korean journal of family medicine
|April 7, 2024
概括
药剂师的药物评价有效地减少了与药物相关的问题和老年患者不适当的药物,改善了药物坚持和生活质量. 然而,对住院和跌倒的影响需要进一步调查.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 药物经济学 药物经济学
背景情况:
- 药物审查是减轻老年人群中与药物相关问题的关键干预措施.
- 老年患者经常面临复杂的药物治疗方案,增加了DRP和潜在不合适药物 (PIM) 的风险.
研究的目的:
- 评估药剂师主导的药物评价对老年患者的影响.
- 综合关于药物审查在减少DRP,PIM,住院,跌倒和改善药物坚持,生活质量 (QoL) 和住院率方面的有效性证据.
主要方法:
- 在MEDLINE Complete和Scopus上对2019年至2023年间发表的研究进行了系统的文献搜索.
- 纳入标准侧重于涉及65岁以上参与者的研究和药剂师进行的药物审查.
- 对44篇选定的文章进行了数据提取和分析.
主要成果:
- 药剂师药物评价与DRP和PIM的显著减少有关.
- 在药物坚持和患者的整体生活质量 (QoL) 中观察到改善.
- 药物评价与住院治疗或跌倒的减少之间没有发现强烈的关联.
结论:
- 药剂师药物审查是减少老年人DRP和PIM的可行和有效干预措施.
- 干预措施对药物坚持和QoL产生积极影响,无论单独实施还是辅助实施.
- 需要进一步的研究来澄清药物审查与住院和跌倒等结果之间的关联.
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