澳大利亚老年护理机构的骨质疏松症管理:一种混合方法研究
Catherine Laird1, Kylie A Williams2, Helen Benson2
1Graduate School of Health, University of Technology Sydney, PO Box 123, Sydney, NSW, 2007, Australia. catherine.d.laird@student.uts.edu.au.
Archives of osteoporosis
|May 14, 2024
概括
药剂师在老年护理人员中发现了常见的药物问题,特别是关于维生素D,和骨质疏松症的登苏马布使用. 解决这些实践差距可以显著改善骨质疏松症管理在这个人群.
科学领域:
- 老年学是一门学科.
- 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:
- 骨质疏松症是老年护理居民普遍存在的疾病,通常管理不当.
- 药剂师对药物的全面审查是提高骨质疏松症护理的关键策略.
- 识别和解决与毒品有关的问题 (DRP) 对于优化治疗结果至关重要.
研究的目的:
- 确定澳大利亚老年护理居民中骨质疏松症药物使用的流行率.
- 为了探索在药剂师领导的药物审查中发现的DRP.
- 分析药剂师关于解决已识别的DRP的建议.
主要方法:
- 采用混合方法方法,结合描述性统计和内容分析.
- 数据是从980名老年护理居民的药物审查报告中提取的.
- 信息包括居民人口统计,诊断,药物,DRP和建议.
主要成果:
- 21.7%的住户使用了抗吸收疗法,而代诺苏马布是最常见的 (87.2%).
- 与骨质疏松症相关的DRP占所有确诊的DRP的14.0%,经常涉及维生素D (55.4%) 和denosumab (23.4%).
- 对维生素D和的临床指导方针的偏离被注意到,以及与登苏马布监测和治疗连续性的问题.
结论:
- 药剂师识别的DRP突出了老年护理骨质疏松症管理实践改进的领域.
- 需要提高对维生素D和的具体指导方针的认识.
- 实施设施协议对于安全有效地使用denosumab至关重要.
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