药剂师主导的药物审查在医院住院老年护理支持服务中的前后研究
June Chan1, Richard Bolitho1,2, Karen Hay3,4
1Pharmacy Department, Residential Aged Care District Assessment and Referral, Metro North Health, Brisbane, Australia.
The International journal of pharmacy practice
|April 23, 2024
概括
在老年护理支持服务中,药剂师主导的药物审查显著减少了多药店和药物负担. 这突显了药剂师在改善老年居民药物安全方面的价值.
科学领域:
- 老年学是一门学科.
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于医院的住院老年护理支持服务主要涉及医生和护士.
- 关于这些团队中药剂师的具体贡献的研究有限.
- 养老院居民经常面临复杂的药物治疗方案,需要专门的药物护理.
研究的目的:
- 评估药剂师主导的药物评价对老年护理人员多药学的影响.
- 评估对药物负担指数的影响,潜在不合适的药物和处方遗漏.
- 分析药剂师在医院老年护理支持服务中的作用.
主要方法:
- 一项为期12个月的前性研究包括住户被转介给药剂师主导的药物审查.
- 在基线和干预后一个月收集了药物历史.
- 统计分析 (配对的t测试,威尔科克森的签名等级测试) 比较了干预前后的数据.
主要成果:
- 观察到药物的平均数量 (12.47至11.84) 和药物负担指数 (1.54至1.37) 的显着减少.
- 更多居民经历了潜在不合适药物的减少和处方遗漏.
- 这项研究包括175名住户,其中146人进行了干预后评估.
结论:
- 在老年护理支持服务中集成的药剂师主导的药物审查可以提高药物处方.
- 这些发现支持开发涉及药剂师的预防性卫生服务模式.
- 建议进行进一步的研究,以探索这些模型的更广泛影响.
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