癌症患者的药物治疗方案复杂性:医疗保健团队忽视的一个问题
Sude Ayca Cifci1, Elif Aras Atik1, Ömer Dizdar2
1Faculty of Pharmacy, Department of Clinical Pharmacy, Hacettepe University, Sihhiye, Ankara, 06100, Turkey.
概括
在癌症患者中,药物治疗方案的复杂性从入院到出院显著增加. 更高的复杂性与负面看法,更大的感知负担和更多的无计划住院病例相关,突出了药剂师参与的必要性.
科学领域:
- 在瘤学瘤学.
- 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:
- 药物治疗方案的复杂性是癌症护理中日益关注的问题.
- 了解它对患者结果的影响对于优化治疗至关重要.
研究的目的:
- 评估从入院到出院的癌症患者的药物治疗方案复杂性.
- 探索药物复杂性和停留时间,感知负担,坚持和再接收之间的关系.
主要方法:
- 在医疗瘤诊所进行前性研究.
- 使用了药物治疗方案复杂性指数 (MRCI) 和药物坚持报告量表 (MARS).
- 收集了患者报告的药物负担和计划外住院治疗的结果.
主要成果:
- 药物治疗方案的复杂性从入院到出院显著增加 (MRCI:11.0至15.0,p < 0.001).
- 增加的复杂性与负面的药物感知,更高的感知负担和意外住院 (p < 0.001) 相关.
- 多学科患者教育改善了治疗坚持 (MARS:19到20,p = 0.003).
结论:
- 在瘤学中整合MRCI和临床药剂师支持可以识别高风险患者.
- 多学科护理和个性化治疗计划可以优化癌症患者的护理.
- 解决药物复杂性是改善药物遵守和减少住院治疗的关键.
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