医生报告的甲状腺激素抑制在老年人中的障碍物和促进者
Brandon Moretti1, Rachel Livecchi2, Stephanie R Taylor3
1Division of Metabolism, Endocrinology and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Journal of the American Geriatrics Society
|October 11, 2024
概括
在老年人中降低甲状腺激素的处方面临患者,医生和系统障碍. 有效的沟通和患者教育是成功降低甲状腺激素剂量和停止治疗的关键.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 甲状腺激素是一种常见的处方,在老年人中滥用和过度治疗很普遍.
- 过度治疗可能导致不良的心血管和骨事件.
- 处方可以减轻不适当的护理,但缺乏关于障碍和促进者的研究.
研究的目的:
- 在老年人中探索甲状腺激素抑制的障碍和促进因素.
- 为了提供安全有效的甲状腺激素停止或剂量减少的干预措施.
主要方法:
- 与19名医生 (内分泌学家,老年医生,PCP) 进行了半结构化采访.
- 通过视频会议进行的采访 (2020年7月 - 2021年12月).
- 在理论领域框架的指导下进行主题分析.
主要成果:
- 患者层面的障碍:感知需要,焦虑,缺乏知识,错误信息.
- 医生/系统障碍:时间限制,医生惯性,知识差距,电子健康记录的局限性.
- 促进者:有效的沟通,信任和积极的医生患者关系.
结论:
- 甲状腺激素的降低受患者,医生和系统因素的影响.
- 干预措施应侧重于患者教育,多学科意识,克服医生惯性.
- 改善老年人甲状腺激素管理需要采取多方面的方法.
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