在母乳养期间促进安全使用药物:在社区药房进行的不受控制的干预前后研究
Milena Kovačević1, Ljiljana Stanković2, Branko Petrović2
1University of Belgrade-Faculty of Pharmacy, Department of Pharmacokinetics and Clinical Pharmacy, Vojvode Stepe 450, 11221 Belgrade, Serbia.
Midwifery
|June 25, 2025
概括
社区药剂师对于母乳养的母亲至关重要.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 孕产妇和儿童的健康
- 社区药房实践 社区药房实践
背景情况:
- 哺乳期的母亲经常因为缺乏信息或害怕药物影响而停止服用药物或母乳养.
- 这凸显了对哺乳期药物使用的可访问,基于证据的指导的迫切需要.
研究的目的:
- 评估社区药剂师在促进母乳养母亲安全使用药物的作用.
- 评估药剂师主导的,基于证据的干预措施对该群体药物安全性的影响.
主要方法:
- 一项前性,不受控制的,干预性研究,涉及社区药剂师和母乳养母亲.
- 药剂师接受了关于母乳养母亲安全药物使用的培训.
- 提供和记录制药护理服务,包括咨询和药物建议.
主要成果:
- 1243名母乳养的母亲参与了这项研究,746名 (60%) 接受了处方药.
- 常见的投诉包括过敏,疼痛和感染;抗感染药物和呼吸道药物是最常见的.
- 药剂师的干预,如咨询和推更安全的替代品,使高风险药物使用量从1%降低到0.3% (p < 0.001).
结论:
- 社区药剂师对于支持母乳养母亲的药物安全至关重要.
- 药剂师的干预显著改善了母乳养母亲使用的药物的安全性.
- 基于证据的咨询和药剂师的建议可以提高药物的服药性和婴儿的安全性.
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