多组件干预措施,以量身定制处方给中等护理医院的痴呆患者:前后准实验性研究
Matilde Barneto-Soto1,2, Joan Espaulella-Panicot3,4, Emma Puigoriol-Juvanteny5,6
1Territorial Service of Geriatrics and Palliative Care From Osona and Ripollès, Fundació Hospital Universitari de La Santa Creu-Consorci Hospitalari Vic, Hospital de Campdevànol, Rambla Hospital nº 52, 08500, Vic, Catalonia, Spain. mbarneto@hsc.chv.cat.
BMC geriatrics
|February 27, 2025
概括
痴呆症患者的多药性通过与护理目标保持一致的药物审查而减少. 这种干预措施改善了药物适宜性和对解药后建议的遵守.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 药物治疗 药物治疗
背景情况:
- 痴呆症患者的多药性治疗可能与护理目标相冲突.
- 需要进行干预,以使药物治疗方案与患者的病情,预后和偏好保持一致.
研究的目的:
- 根据护理目标,识别痴呆症患者的不适当处方.
- 为了比较药物治疗在药物审查之前和之后.
- 评估处方建议的实施情况,在放任后三个月.
主要方法:
- 一项前后准实验性研究对从中介护理中出院的痴呆症患者进行.
- 药物评价和护理人员采访使药理疗法与护理目标保持一致.
- 将处方建议传达给初级保健团队.
主要成果:
- 94.8%的患者至少服用了一种不适当的药物.
- 平均慢性药物使用量减少了29.6%,抗胆固醇负担减少了18.6%,治疗复杂性减少了28.4%.
- 三个月后,处方建议的执行率为90.0%.
结论:
- 中级护理环境适合进行干预,以根据患者的目标定制处方.
- 该干预措施改善了药物治疗参数,并确保中期遵守建议.
- 将药物与患者偏好的调整提高了痴呆症患者的护理质量.
更多相关视频
相关概念视频
01:22Alzheimer's Disease: Treatment
145
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
145
01:28Drug 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
01:30Community Based Intervention
28
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
28
01:19Restorative 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
01:29Documentation in Long-Term and Home Healthcare Setting
868
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
868
01:30Dementia
87
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
87