药剂师使用骨折风险评估改善长期护理中的骨质疏松症管理:可行性研究
Catherine D Laird1, Kylie A Williams1, Helen Benson1
1Graduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Journal of the American Medical Directors Association
|February 16, 2025
概括
药剂师可以通过使用骨折风险表 (FRS) 评估长期护理居民的骨折风险. 该研究发现骨质疏松症药物和补充剂的使用不足,强调需要改善护理以减少骨折.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 骨质疏松症具有显著的骨折风险,特别是在长期护理 (LTC) 居民中.
- 准确的骨折风险评估对于适当的骨质疏松症管理至关重要.
- 目前在LTC设施中的处方做法可能与骨折风险不完全一致.
研究的目的:
- 评估药剂师在LTC设施中进行骨折风险表 (FRS) 评估的可行性.
- 为了确定LTC居民中高骨折风险的患病率.
- 分析目前使用骨质疏松症药物和补充剂与评估骨折风险相关的情况.
主要方法:
- 在澳大利亚昆士兰州的四个LTC设施进行了可行性研究.
- 药剂师检查住户档案以计算骨折风险,使用FRS手动工具.
- 药物和补充剂使用 (维生素D,) 与计算的骨折风险进行了分析.
主要成果:
- 在97.9%的居民中,FRS评估成功完成.
- 超过一半 (54.2%) 的居民被确定为高骨折风险.
- 很大一部分高风险居民没有被处方骨质疏松症药物,而一些低风险居民是.
结论:
- 在LTC设置中,药剂师领导的FRS评估是可行的.
- 在高风险居民中观察到骨质疏松症药物的使用不足,在所有居民中观察到补充剂 (维生素D,).
- 将FRS整合到实践中可能会优化处方并降低骨折率,这需要进一步调查.
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