在老年护理设施中药物管理:混合方法系统审查
Stephanie Garratt1, Alison Dowling1, Elizabeth Manias1
1School of Nursing and Midwifery, Monash University, Melbourne, Australia.
Journal of advanced nursing
|July 8, 2024
概括
在老年护理中药物管理是复杂的,涉及临床和人际挑战. 员工的教育干预措施显著减少了药物错误,但需要以居民为中心的方法来提高护理质量和参与度.
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.
- 医疗保健管理的管理
背景情况:
- 在老年护理机构中药物管理存在复杂的临床和人际关系挑战.
- 现有的研究缺乏关于老年护理工作者,居民和家庭对药物管理的观点的综合证据.
- 了解这些挑战对于改善护理质量和居民安全至关重要.
研究的目的:
- 综合老年护理提供者,居民及其家属对药物管理的观点.
- 为了确定药物管理错误的发生率.
- 评估药物管理对护理质量和以居民为中心的影响.
主要方法:
- 进行了混合方法系统审查.
- 在八个主要数据库 (AMED,CINAHL,MEDLINE,EMBASE,EMCARE,PsycINFO,Scopus,Web of Science) 中进行了搜索.
- 数据使用融合合成,主题合成和元分析进行了合成,并遵循PRISMA指南.
主要成果:
- 包括128项研究,揭示了五个主要主题:人员配置,居民角色,决策,电子记录和错误.
- 对老年护理工作人员的教育干预表明,药物管理错误的显著减少 (OR = 0.37).
- 剂型修改用于坚持,而不仅仅是为了吞困难,药物遗漏是常见的错误类别.
结论:
- 药物管理需要承认作为临床和人际关系任务.
- 加强居民和家庭对药物管理的参与,对于改善药物服药,满意度和护理质量至关重要.
- 未来的研究应该集中在剂量形式修改和支持居民参与的决策.
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