社区药房干预的结果 药物患者在额外监测下的药物
Xabier Aizpurua-Arruti1,2, Shalom Charlie I Benrimoj3, Estibaliz Goyenechea1
1Official Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.
Integrated pharmacy research & practice
|August 5, 2024
概括
社区药剂师的干预显著改善了患者的药物遵守,知识和使用额外监测 (AM) 药物的患者的生活质量. 这种以患者为中心的服务强调了药剂师在管理复杂药物治疗方案中的关键作用.
科学领域:
- 药物监督 药物监督 药物监督
- 药物安全 药物安全
- 以患者为中心的护理
背景情况:
- 由于对罕见药物不良反应 (ADR) 的临床试验数据有限,需要对额外监测 (AM) 药物进行市场后监测.
- 现实世界的研究对于识别安全问题和了解AM药物的影响至关重要.
- 患者遵守药物和正确使用药物对于评估安全性和有效性至关重要.
研究的目的:
- 评估社区药剂师 (CP) 领导的干预措施对使用AM药物的患者的安全性,遵守,使用和知识 (U&K) 以及生活质量 (QOL) 的影响.
- 评估一种新的以患者为中心的药房服务,用于糖尿病,COPD和心血管疾病的AM药物.
主要方法:
- 未来的干预队列研究,在27家社区药房进行6个月的随访.
- 监测了145名患有流行慢性疾病的患者.
- 安全性,坚持性,U&K和QOL在基线和后续访问 (月份0,3和6) 中进行了评估.
主要成果:
- 检测到163个不良反应,其中41名患者被转诊给医生.
- 在CP干预后,患者的不遵守率从24.1%降至5.8%.
- 不足够的药物U&K从47.6%降至7.9%,患者的QOL有所改善.
结论:
- 一个新的以患者为中心的药房服务证明了CP在安全使用AM药物的重要作用.
- CP干预措施对患者的健康结果产生积极影响,包括坚持,知识和生活质量.
- 这种服务模式在管理慢性疾病的AM药物方面是有效的.
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