为接受家庭护理服务的人理解多药学:对证据的范围审查
Radin Karimi1,2, Anna Robinson-Barella1,2,3, Vanessa Davey3
1School of Pharmacy, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK.
Age and ageing
|February 19, 2025
概括
多药在接受家庭护理的老年人中很常见. 研究表明,诸如年龄和虚弱等因素有所贡献,干预措施可以提高药物适宜性.
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:
- 多药性 (同时使用五种或更多种药物) 在接受家庭护理的老年人中很普遍.
- 在这个人群中,家庭护理服务和多药店之间的关键关系存在有限的研究.
研究的目的:
- 系统地审查和综合现有的证据在接受家庭护理服务的个人中多药.
- 了解在家庭护理环境中多药的流行,干预和相关因素.
主要方法:
- 采用了一个范围审查方法,遵守PRISMA扩展指南.
- 在2023年12月,对MEDLINE,Embase和CINAHL数据库进行了系统搜索.
- 包括了涉及成人参与者经历多药房和接受家庭护理的研究.
主要成果:
- 包括23项研究,报告了多药制药的流行率,干预措施,家庭护理工作者的角色,健康素养和相关因素.
- 多种药物和潜在不合适的药物 (PIMs) 与老年,女性性别,脆弱,社会隔离,社会经济地位低下和数据不准确性有关.
- 专业间干预,优化家庭护理人员的使用,以及提高健康素养,可以提高处方的适当性.
结论:
- 该审查确定了关于多药房范围和家庭护理中的管理策略的研究.
- 虽然建议采取药物质量改善策略,但在了解护理人员和接受者对药物管理的经验方面仍然存在重大差距.
- 需要进行进一步的研究,以解决在家庭护理环境中管理多药学的这些经验差距.
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