将药物与最重要的事情对齐:药剂师,痴呆症患者和护理伙伴之间的对话
Ariel R Green1, Rosalphie Quiles Rosado1, Andrea E Daddato2
1Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of the American Geriatrics Society
|February 3, 2025
概括
从痴呆症患者 (PWD) 和护理合作伙伴那里获得药物优先级,可以改善与药剂师的处方讨论. 这支持个性化药物管理和PWD的目标一致的护理.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对痴呆症患者 (PWD) 进行成功的抑郁处方取决于PWD,护理伙伴和临床医生之间有效地沟通药物优先事项.
- 了解患者和护理合作伙伴优先事项如何影响抑郁症的讨论对于优化这一群体的药物管理至关重要.
研究的目的:
- 探索PWD及其护理伙伴在抑郁症干预期间如何引起与药剂相关的优先事项,塑造了他们与药剂师的讨论.
- 为了深入了解优先诱导对药剂师主导的处方停止对话的影响.
主要方法:
- 药剂师与55个患者护理合作伙伴之间的82次录音互动的定性内容分析.
- 参与者包括65岁以上的患者,服用7种以上的药物及其护理伙伴,从初级保健机构招募.
- 分析的重点是确定与药物优先级相关的主题,并讨论药物处方.
主要成果:
- 出现了五个主要主题:减少治疗负担,缓解症状,保持认知/功能,讨论权衡,以及对抑郁症的挑战.
- 引出优先事项导致药剂师建议放弃处方和处方,这表明了量身定制的方法.
- 患有PWD的人比较老 (平均年龄81岁),平均服用了13种药物;照顾伙伴通常是配偶.
结论:
- 从PWD和护理合作伙伴那里获得与药物相关的优先事项是支持目标一致护理的有价值策略.
- 这些发现可以为开发有针对性的干预措施提供信息,以优化痴呆症患者的药物治疗方案.
- 药剂师主导的抑郁处方干预可以通过结合患者和护理合作伙伴的优先讨论来加强.
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