在澳大利亚的住宅老年护理设施中处方:一个范围审查
Jenny Xinyu Liang1,2, Louise Thai3, Madeleine Healy1,2
1Aged and Rehabilitation Services, Kingston Centre, Monash Health, Cheltenham, Victoria, Australia.
Australasian journal on ageing
|February 22, 2025
概括
在住宅老年护理设施 (RACF) 中,减轻处方干预对老年人来说是有前途的. 多学科的方法和教育是关键,但需要对临床结果和经济影响进行更多的研究.
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:
- 住院养老机构 (RACF) 的老年人面临着由于脆弱性和多病症性而面临多药和低于最佳处方的重大风险.
- 停止处方,即系统地取消不合适的药物,提供了一种策略,以减轻与多药相关的危害.
- 了解RACF中的当前抑郁症干预措施对于识别研究差距至关重要.
研究的目的:
- 进行对RACF中关于减轻干预的现有文献的范围审查.
- 综合当前关于解写策略及其实施的知识.
- 确定研究缺口,并概述该领域未来的研究重点.
主要方法:
- 从创立到2024年2月,在多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,AgeLine) 进行了全面的文献搜索.
- 搜索遵循乔安娜·布里格斯研究所 (JBI) 对范围审查的指导方针.
- 包括以英语出版的研究.
主要成果:
- 确定了13项涉及澳大利亚133,150名RACF居民的研究.
- 干预措施包括药剂师领导的 (6),多学科团队领导的 (5),和医生领导的 (2) 方法.
- 关键主题是多学科护理,医疗保健专业教育,结果测量精细化,系统问题和研究物流;精神药物是最常见的目标.
结论:
- 解药是RACF患者的重要干预措施,需要进一步研究将证据转化为具有临床意义的结果.
- 成功的干预通常包括多学科团队,教育,与居民/护理人员进行纵向跟进,以及利益相关方参与.
- 在这个弱势群体中,抑郁症的经济影响仍然在很大程度上未被探索.
更多相关视频
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.4K
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.2K
相关概念视频
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Depressants
97
Depressant drugs, including alcohol and sedative-hypnotics, diminish central nervous system activity by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation. These substances can have various therapeutic uses but also pose significant risks, especially when misused or combined.
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
97
Drug Therapy
34
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
34
CNS Depressants: Barbiturates and Benzodiazepines
204
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
204
Antidepressant Drugs: MAOIs and Other Agents
178
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
178
Antidepressant Drugs: Overview
349
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
349
