一个社区药剂师干预治疗患者
Journal of the American Pharmacists Association : JAPhA
|November 3, 2024
概括
社区药剂师试行了一项管理计划,但患者入学率低,阻碍了结果评估. 学到的经验教训为未来的干预提供了洞察力,以改善患者的护理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 患者护理 患者护理
背景情况:
- 是一种复杂的神经系统疾病,主要用抗发作药物治疗.
- 社区药剂师,高度可访问的医疗保健提供者,拥有药物治疗专业知识,但在治疗中未得到充分利用.
- 这项研究探讨了一种新的社区药剂师主导的患者 (PWE) 干预措施.
研究的目的:
- 试点一个社区药剂师主导的疾病管理干预措施,用于患者 (PWE).
- 评估干预对患者报告的生活质量 (QoL),健康和满意度的影响.
- 识别社区药房基础服务中招募患者的障碍.
主要方法:
- 一个为期6个月的干预,社区药剂师服务计划,涉及患者咨询,护理计划,检查和护理协调.
- 在华盛顿州西部的4家社区药房进行了试点研究.
- 由于患者入学率低,研究设计从2臂转向1臂前后模型;使用QOLIE-10-P测量了QOLL.
主要成果:
- 招募了10名患者 (7名干预,3名常规护理);5名干预患者完成了该研究.
- 在库-10 (QOLIE-10-P) 的中位数生活质量得分中观察到轻微而无意义的下降.
- 药房工作人员发现,有限数量的患者符合条件,这是招聘的重大障碍.
结论:
- 低患者入学率限制了确定干预对治疗结果的影响的能力.
- 确定招生障碍和经验教训为改进干预提供了基础.
- 未来的代可以优化,以提高患者的福祉和结果.
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