麻醉提供者对药物干扰荷尔蒙避孕的知识:一个多站点调查
Madeline Whitney1, Emily E Sharpe2, Monica W Harbell2
1From the Mayo Clinic Alix School of Medicine, Phoenix, Arizona.
Anesthesia and analgesia
|October 4, 2024
概括
麻醉提供者对与荷尔蒙避孕药 (HCs) 的药物相互作用,特别是与阿普雷皮坦的相互作用的知识存在差距. 需要改善教育和患者咨询,以便就术后药物选择做出共同的决策.
科学领域:
- 药理学 药理学是指药理学的学科.
- 麻醉学 麻醉学
- 生殖健康 生殖健康
背景情况:
- 苏加马德克斯,阿普雷皮坦和福萨普雷皮坦经常在外科手术期间使用.
- 这些药物有可能降低荷尔蒙避孕药 (HCs) 的疗效.
- 评估麻醉提供者对这些相互作用的认识和做法对于患者安全至关重要.
研究的目的:
- 为了评估麻醉提供者的使用sugammadex和aprepitant.
- 确定提供者关于与荷尔蒙避孕药 (HCs) 的药物相互作用的知识.
- 评估与这些相互作用相关的术后患者咨询实践,并确定教育改进的领域.
主要方法:
- 2023年1月,在多个梅奥诊所的麻醉提供者进行了一项电子调查.
- 该调查包括32个问题,涵盖药物使用,HC相互作用的知识,训练感知和咨询习惯.
- 用描述性统计数据分析数据,以总结发现.
主要成果:
- 虽然96%的提供者知道sugammadex可以影响口服避孕药的有效性,但只有47%的人知道阿普雷皮坦的类似潜力.
- 关于sugammadex (52%) 和 aprepitant (35%) 暴露后替代避孕的推持续时间的知识是有限的.
- 尽管承认临床相关性和共享决策 (SDM) 的需要,但提供者很少在手术前与患者讨论避孕措施,特别是关于阿普雷皮坦 (73%很少/从未).
结论:
- 麻醉提供者之间存在重大知识差距,涉及与荷尔蒙避孕药 (HCs) 的术后药物相互作用.
- 加强教育和持续的手术前咨询对于促进关于药物选择和替代避孕的知情共享决策至关重要.
- 解决这些差距将通过确保知情同意和遵守必要的避孕预防措施来改善患者护理.
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