确定瘤学家对门诊癌症患者静脉血栓塞栓症风险评估的看法和做法:一项定性研究
Marwa Akram Tariq1, Ehab Mudher Mikhael2
1Department of Clinical Pharmacy, College of Pharmacy, University of Al-Qadisiyah, Al-Diwaniyah, Iraq.
PloS one
|January 6, 2025
概括
巴格达的瘤学家很少评估静脉血栓塞栓症 (VTE) 风险或遵循癌症患者的血栓预防指南. 药剂师可以帮助评估风险,并为癌症相关的血栓形成 (CAT) 处方适当的抗凝药.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 临床药房 临床药房
背景情况:
- 癌症相关血栓形成 (CAT) 显著增加癌症患者的发病率和死亡率.
- 目前的指导方针建议对高风险个体进行静脉瘤风险评估和血栓预防.
- 对于瘤学家的遵守以及指导方针实施的促进者/障碍者,人们的理解有限.
研究的目的:
- 探索瘤学家对静脉瘤风险评估和在巴格达 (伊拉克) 门诊癌症患者的血栓预防的看法和实践.
- 确定影响遵守VTE预防指南的障碍和促进因素.
主要方法:
- 这是一项定性研究,采用面对面,半结构化面试,对31名瘤学家进行面试.
- 从2023年11月到2024年1月,在巴格达的四个主要瘤中心进行了采访.
- 用于数据解释的专题分析.
主要成果:
- 大多数瘤学家 (64%) 不会定期对癌症患者进行静脉瘤风险评估.
- 只有很小的一小部分 (11%) 处方预防性抗凝剂在指南推剂量.
- 大多数瘤学家 (77%) 承认药剂师在VTE预防和管理中的重要作用.
结论:
- 癌症相关的血栓形成是普遍存在的,但VTE风险评估和对血栓预防的指导原则的遵守在巴格达的瘤学家中是不理想的.
- 需要加强瘤学家在VTE风险评估方面的教育和培训.
- 药剂师被确定为改善癌症患者的VTE预防的关键合作者.
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