止处方NSAIDs:社区药剂师的潜在作用
Delsher Amedi1, Parisa Gazerani1,2
1Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway.
Pharmacy (Basel, Switzerland)
|August 28, 2024
概括
社区药剂师可以确定对非类固醇抗炎药物 (NSAIDs) 的处方需求,但面临时间和补偿等障碍. 需要加强培训和指导方针,以支持药剂师发挥这一关键作用.
科学领域:
- 药理学和制药学 药理学和制药学
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 非类固醇抗炎药物 (NSAIDs) 广泛用于治疗疼痛,但存在重大风险,特别是在脆弱人群中.
- 多药和并发症增加了NSAID副作用和药物相互作用的风险.
- 社区药房是NSAID的关键接入点,为干预提供了机会.
研究的目的:
- 调查在社区药房层面下对NSAIDs的处方可行性和方法.
- 评估社区药剂师对NSAID减记药物的信心,态度,障碍和促进者.
- 确定适用于社区药房设置的现有减缓处方指南.
主要方法:
- 进行了文献搜索,以确定相关的抑郁症指南.
- 在挪威 (N=73) 的社区药剂师中分发了一份横截面数字问卷.
- 该研究评估了药剂师的信心,态度,感知障碍和NSAID降低处方的促进因素.
主要成果:
- 药剂师表示,他们有信心确定是否需要NSAID来停止处方.
- 确定的主要障碍包括时间限制,缺乏财务补偿和沟通挑战.
- 药剂师对放弃处方表现出积极的态度,但表示需要改进指导方针和培训.
结论:
- 在社区药房设置中,对于不再处方NSAIDs的具体指南存在差距.
- 通过有针对性的培训和财务激励,可以加强药剂师在NSAID停止处方中的作用.
- 需要进一步的研究来制定实施社区药剂师领导的NSAID停止处方的实际策略.
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