使用的策略和与老年病房中药物服务和干预措施实施相关的经验:一个范围审查
Alan Maicon de Oliveira1, João Paulo Vilela Rodrigues1, Isabella do Vale de Souza1
1School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
British journal of clinical pharmacology
|December 23, 2024
概括
本范围审查强调了老年病房的药物护理干预措施,确定药物审查,和解和咨询作为关键策略. 它揭示了老年人可能不合适的药物和药物相关问题的重大问题,强调了改善老年人药物治疗的必要性.
科学领域:
- 老年人药物疗法药物疗法
- 医药护理 医药护理 医药护理
- 医疗服务研究 医疗服务研究
背景情况:
- 优化老年人药物治疗对于临床改善至关重要.
- 现有的关于老年医疗中药物护理干预措施的证据需要更深入的理解.
- 老年人经常面临复杂的药物治疗方案和多药学.
研究的目的:
- 绘制和总结有关老年病房中药物服务和干预措施的科学证据.
- 确定在老年医疗药物护理中使用的经验和策略.
- 探索在老年患者中有效的药物干预措施的障碍和促进因素.
主要方法:
- 对3个电子数据库 (PubMed,EMBASE,Web of Science) 的范围审查.
- 包括到2024年9月以英语,西班牙语或葡萄牙语出版的实验和观察研究.
- 由两个独立研究人员进行选和数据提取.
主要成果:
- 包括40项研究,重点关注药物审查,和解和咨询.
- 可能不合适的药物的高患病率 (27.6-90.8%) 和与药物有关的问题 (34.5-98.2%).
- 障碍包括培训需求,时间限制,缺乏连续性和多学科团队的认可.
结论:
- 制药服务显示了改善老年病房药物处方充足性的趋势.
- 在实施和结果评估方面仍然存在重大挑战.
- 需要进一步的研究来克服所识别的障碍,并提高老年人药物治疗的质量.
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