医疗复杂性的儿童的多药学:在儿科息护理中心的一项横截面研究
Anna Zanin1, Fernando Baratiri2, Barbara Roverato1
1Palliative Care and Pain Service, Department of Women's and Children's Health, University of Padua, 35128 Padua, Italy.
Children (Basel, Switzerland)
|July 27, 2024
概括
多药和药物负担在患有医疗复杂性 (CMC) 的儿童中很常见,影响了超过一半的患者. 这些问题因初级诊断而异,凸显出需要量身定制的护理策略.
科学领域:
- 儿科药理学 儿科药理学
- 医疗保健研究成果研究结果
背景情况:
- 患有医疗复杂性 (CMC) 的儿童经常使用多种药物,导致多药.
- 多药与副作用,药物错误和增加护理人员负担有关.
- 了解CMC中的药物模式对于改善患者护理和降低医疗保健成本至关重要.
研究的目的:
- 确定医疗复杂性的儿科患者中多药和药物负担的流行率.
- 调查非标签药物使用的程度和相关的药物费用.
- 根据初级诊断分析这些药物参数的变化.
主要方法:
- 在儿童息治疗中心进行了一项横截面观察研究.
- 通过医疗记录和护理人员采访,从169名患者 (年龄为0.3-23岁) 收集了数据.
- 统计分析,包括奇平方和ANOVA测试,用于比较药物数据.
主要成果:
- 多药性影响了52.7%的患者,而药物负担存在于44.4%的患者中.
- 多药和药物负担都显示出基于初级诊断的显著变化 (p < 0.001).
- 每名患者的平均每日药品成本为2.2欧元,具有显著的亚组差异;34.6%的处方是非标签的.
结论:
- 多药和药物负担在医学复杂性研究的儿科人口中普遍存在.
- 根据初级诊断,药物治疗模式存在显著差异.
- 这些发现强调了CMC中需要谨慎的药物管理,以优化结果并减少负担.
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