[在老年人中使用可能不合适的药物,在家中提供息护理]
Natalia B Mozeluk1,2, Cristian M Gallo Acosta1, Maria F Cunha Ferre1
1Sección Medicina Domiciliaria, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Argentina.
Medicina
|June 22, 2024
概括
在接受慢性疾病家庭护理的老年人中,潜在不适当的药物使用率非常高 (87%). 这凸显了改善药物管理和以患者为中心的护理的干预措施的迫切需要.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 药理学 药理学是指药理学的学科.
背景情况:
- 患有慢性疾病和需要息护理的老年人经常面临多药制和使用可能不合适的药物 (PIMs).
- 使用PIM增加了不良事件的风险,并降低了这一弱势群体的生活质量.
- 医院出院后的家庭护理服务在这个人口群体中是药物审查的关键时刻.
研究的目的:
- 确定在接受家庭护理服务的老年人中使用PIM的频率.
- 为了确定特定的药物类别,经常被认为在这个患者群体中可能不合适.
主要方法:
- 一项观察性,横截面研究分析了药房发行和电子健康记录.
- 数据包括176名老年人 (平均年龄为87.4岁) 在家庭护理系统中需要息护理.
- 在家庭护理入院后180天内发放的药物被使用PIM的LESS-CHRON标准评估.
主要成果:
- 在87%的患者中观察到高频率的PIM处方.
- 每名患者发放的药物的中位数为9.1.
- 抗高血压剂,二类药物和抗精神病药物是最常见的PIMs.
结论:
- 潜在不合适的药物处方在老年人中非常普遍,在家庭护理环境中需要息护理.
- 有效,以患者为中心的干预措施对于防止不充分的处方和促进停止处方至关重要.
- 在这些人群中解决PIM对于提高安全和生活质量至关重要.
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