在护理过渡时实施阿片类药物减缓干预措施的可行性:范围审查
Jeffery Wang1, Carl R Schneider1, Aili V Langford1,2
1School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
British journal of clinical pharmacology
|December 23, 2024
概括
在护理过渡时,阿片类药物抑郁的干预措施是复杂的,结果不一. 需要进一步的研究,以了解如何最好地实施这些策略,以减少长期阿片类药物使用和伤害.
科学领域:
- 药理学和卫生服务研究 研究 药理学和卫生服务研究
- 提高患者安全和质量.
背景情况:
- 在护理过渡期间持续使用阿片类药物会增加长期使用和伤害的风险.
- 在护理转型中,阿片类药物抑郁症干预措施的可行性仍未得到充分研究.
研究的目的:
- 为了确定在护理过渡期间使用的阿片类药物抑郁症干预措施.
- 通过使用既定框架评估这些干预措施的可实施性.
主要方法:
- 对9个电子数据库的范围审查 (2023年5月进行了搜索) 确定了在护理过渡期间对成人阿片类药物抑郁症干预的英语研究.
- 使用Cochrane干预复杂性评估工具评估了可实施性,并将其映射到覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架.
主要成果:
- 审查了79项研究,主要 (94%) 关注从医院到家庭的过渡.
- 混合干预 (药物和非药物) 是最常见的 (49%) 和复杂的,显示在28%的研究中减少了阿片类药物的使用.
- 关于RE-AIM维度的报告很少,特别是在实施,覆盖范围,采用和维护方面.
结论:
- 在护理过渡期间,阿片类药物降低处方干预措施,特别是混合干预措施,表现出不同的有效性,并提出实施挑战.
- 未来的研究必须优先考虑了解跨不同护理环境的干预实施性,以优化阿片类药物停止处方策略并减轻危害.
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