评估一种增强的抑郁和焦虑查与有针对性的药剂师干预的评估
Journal of the American Pharmacists Association : JAPhA
|August 11, 2024
概括
社区药剂师可以查抑郁症和焦虑症,识别高风险患者的药物问题. 发现了查采用和随访方面的挑战,需要更多的患者和处方医生的参与.
科学领域:
- 药房实践 在药房实践.
- 心理健康查 心理健康查
- 社区健康 社区健康
背景情况:
- 抑郁症是疾病的重要原因,经常没有被诊断出来.
- 建议进行更广泛的查,药剂师可能有助于检测.
研究的目的:
- 评估社区药房中抑郁和焦虑查的可行性.
- 在高风险人群中识别与药物相关的问题 (MRPs).
- 为了记录药剂师的干预和处方者的行动.
主要方法:
- 美国社区药房的试点研究 (2022年10月至2023年1月).
- 使用PHQ2/GAD2,PHQ9/GAD7进行查,用于年龄在18-45.5岁的风险患者.
- 对高风险患者进行药剂师咨询,然后在2个月后进行个人资料审查.
主要成果:
- 在29名参与者中,有41%的参与者接受了抑郁症或焦虑症高风险查.
- 常见的MRP包括需要额外的治疗和不充分的剂量.
- 一半的风险患者在2个月内改变了心理健康药物.
结论:
- 社区药剂师可以在心理健康查和管理中发挥作用.
- 在查采用和患者/处方者随访方面存在挑战.
- 对患者和处方者来说,需要进一步的参与策略.
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