药剂师主导的家庭访问服务的影响以及影响药物服药的因素,改善药物坚持
Hwayoung Ahn1, Bo-Kyung Byun1, Tae-Hoon Lee1
1College of Pharmacy, The Catholic University of Korea, Bucheon, Gyeonggi-do, South Korea.
PloS one
|November 22, 2024
概括
药剂师主导的家庭访问显著改善了老年人的药物坚持和知识. 较高的初始药物知识与更好的坚持结果有关.
科学领域:
- 药房实践 在药房实践中
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物不服药是一个重大挑战,特别是对于多药和慢性疾病患者来说.
- 药剂师主导的家庭访问是改善药物使用结果的潜在策略.
- 这些干预措施的确切影响和贡献因素需要进一步阐明.
研究的目的:
- 评估药剂师主导的家庭访问服务对药物遵守的有效性.
- 评估对一般药物知识的影响.
- 识别与改善药物坚持相关的因素.
主要方法:
- 与65岁以上或服用≥10种药物的社区居民进行了面对面的家庭访问.
- 使用莫里斯基尺度测量药物坚持;通过分数评估知识.
- 使用McNemar的测试和后勤回归来分析干预前后的数据和影响因素.
主要成果:
- 干预后,药物坚持从69.2%提高到85.8%.
- 一般药物知识得分从65.3%增加到89.5%.
- 较高的基线药物知识 (OR=2.93) 预测了更好的坚持,而70岁以上的年龄预测了较少的改善 (OR=0.51).
结论:
- 药剂师主导的家庭访问有效地提高了药物坚持和知识.
- 干预措施应考虑基线药物知识作为成功的关键因素.
- 这些发现支持制定药物管理的结构化计划.
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