家庭护理患者的经验和与高风险药物使用相关的药物负担:一项跨部门研究
Irina Dumitrescu1,2, Minne Casteels2,3, Kristel De Vliegher2
1Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
International journal of older people nursing
|December 12, 2024
概括
家庭护理患者经常使用多种药物,包括高风险药物,但通常可以很好地管理它们. 了解患者的体验是提高药物安全性和对这一群体的坚持的关键.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 护理 护理 护理
背景情况:
- 高龄,多药和并发症增加了药物不良反应 (ADR) 的风险.
- 高风险药物使用对患者安全构成重大威胁.
- 关于家庭护理患者的经验和高风险药物的药物负担的数据有限.
研究的目的:
- 描述家庭护理患者的经验和与高风险药物使用相关的药物负担.
- 研究患者如何管理高风险药物.
- 识别获得的专业支持和经历过的不良反应.
主要方法:
- 在比利时进行的横截面研究.
- 纳入标准:65岁及以上的家庭护理患者使用至少一种高风险药物.
主要成果:
- 106名患者报告了8种药物的中位数,其中2种是高风险药物.
- 甲胺,胰岛素和甲是常见的高风险药物.
- 患者感知到药物的重要性,管理好摄入量,并表现出高度的坚持,出血是最常见的ADR.
结论:
- 对于高风险药物管理,需要加强实践指南和药物特定协议.
- 了解患者的风险感知和促进沟通对于安全的药物护理和遵守至关重要.
- 将患者的经验纳入观察并尊重患者的自主权对于家庭护理护士来说至关重要.
相关概念视频
01:28Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39
01:29Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
01:15Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:28Mitral Regurgitation IV: Nursing Management
2
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
2