精神病患者的跨学科药物评估 - 一种混合方法的评估方法
Dagmar Abelone Dalin1, Sara Sommer Holst1, Lucif Søemosegaard Dalin1
1Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, Denmark.
Exploratory research in clinical and social pharmacy
|March 31, 2025
概括
涉及患者和医疗保健专业人员的跨学科药物评估 (MR) 改善了精神病患者的药物管理. 观察到推变化的实施率很高,突出了协作护理的好处.
科学领域:
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
- 主要护理是指初级护理.
背景情况:
- 长期护理的精神病患者面临着独特的药物管理挑战.
- 一般医生 (GPs) 可能缺乏针对精神病药物处方和逐渐减少的专业培训.
- 药物评估 (MR),特别是在跨学科团队中,可以提高治疗的适当性.
研究的目的:
- 评估在精神病房中进行跨学科药物审查 (MRs) 的可行性.
- 评估患者参与这些跨学科MR的程度.
- 分析推药物改变的有效性和实施情况.
主要方法:
- 一项混合方法评估研究,结合了定量MR分析和定性访谈.
- 使用描述性统计数据分析了11个定量药物审查.
- 使用主题编码分析了五个定性半结构面试.
主要成果:
- 医疗保健专业人员接受了在MR期间推的86%的药物改变.
- 75%的推药物改变在六个月后续实施.
- 确定的主要主题包括跨专业合作,患者参与和MR过程,并指出了挑战.
结论:
- 跨学科的MR对精神病患者是有益的,其实施率很高.
- 未来的MR模型应该优先考虑患者和GP的参与.
- 建议在跨学科的MR团队中包括一名精神科医生,以获得最佳的结果.
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