旨在增加安全药物处置的干预措施的有效性:随机试验的系统审查和元分析
Amy Soo-Bin Ma1, Andrew J McLachlan1, Christina Abdel Shaheed2
1Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Systematic reviews
|May 31, 2025
概括
提供处置套件和教育提醒有效地增加了未使用的药物的处置. 这一系统性审查强调了提高药物安全性和减少与药物有关的危害的策略.
科学领域:
- 药理学和公共卫生
- 药物安全 药物安全
- 环境健康 环境健康
背景情况:
- 与毒品相关的伤害显著导致死亡率,中毒和住院.
- 有效的药物安全协议包括减少未使用的药物的可用性.
- 促进药物处置的基于证据的策略需要澄清.
研究的目的:
- 系统地审查和评估旨在增加药物处置的干预措施的有效性.
- 确定最佳策略,以安全地处置未使用的药物,特别是阿片类药物.
主要方法:
- 系统审查和随机对照试验 (RCT) 的元分析,发表至2024年2月.
- 包括关于任何促进药物处置的干预措施的研究,重点是阿片类止痛药处置.
- 主要结果:参与者处置未使用药物的比例的变化;次要结果:患者,人口,环境和经济影响.
主要成果:
- 包括18个涉及5347名参与者的RCT,所有来自北美 (2016-2023年).
- 与常规实践相比,处理工具包,教育和提醒等干预措施导致药物处理量显著增加.
- 适度的证据支持处置套件,联合教育和套件,以及用文本提醒教育.
结论:
- 处置套件,教育和提醒提示是有效的干预措施,以增加未使用的药物处置.
- 中等质量的证据支持这些提高药物安全性的策略.
- 需要对药物处置策略在人口层面和环境结果进行进一步的研究.
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