共同设计药物优化以患者为中心的结果研究与老年人和护理人员作为研究合作伙伴
Eposi Elonge1, Catherine E Cooke1, Merton Lee1
11 Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland.
The Senior care pharmacist
|November 3, 2024
概括
老年人和护理人员合作确定关键药物研究优先事项. 两组都优先考虑简化药物治疗方案和改善医疗保健沟通,强调了在药物管理方面的共同关切.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 患者为中心的研究成果研究成果
背景情况:
- 越来越需要证据来证明药物对老年人的意外后果.
- 在老年人中,护理人员对药物管理的基本支持.
- 多种利益相关者的观点 (老年人,护理人员,临床医生,研究人员) 对于优先考虑研究至关重要.
研究的目的:
- 共同制定一个研究议程,重点关注老年人群中与药物相关的问题.
- 确定和优先考虑与老年人药物使用有关的以患者为中心的结果研究 (PCOR) 主题.
主要方法:
- 一个由12名成员组成的咨询委员会,包括老年人和护理人员,共同设计了研究方法.
- 在老年护理医学网络 (ECMN) 成员中分发了一份11个问题的调查.
- 受访者被分为临床医生/研究人员和老年人/护理人员类别进行比较分析,使用奇平方测试.
主要成果:
- 53名ECMN成员回复 (48%的回复率),其中大多数 (60.4%) 来自老年人/护理人员组.
- 最重要的共同优先事项包括简化药物治疗方案 (62.2%),加强与医疗保健提供者的沟通 (58.5%),以及了解补充剂和药物相互作用 (52.8%).
- 在临床医生/研究人员和老年人/护理人员组之间的优先领域选择中,观察到有统计学意义的差异.
结论:
- 联合设计方法成功地将老年人和护理人员作为积极的研究合作伙伴.
- 虽然具体的优先事项可能有所不同,但老年人和护理人员都强调了简化药物治疗方案和改善医疗保健沟通的重要性.
- 研究结果为未来的老年人药物管理研究方向提供了信息.
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