应用共同设计的药物治疗计划,使老年人更安全地接受药物治疗:可行性研究
Malin Holmqvist1,2, Axel Ros3,4, Johan Thor4
1Department of Public Health and Healthcare, Region Jönköping County, Jönköping, Sweden. malin.holmqvist@ju.se.
Pilot and feasibility studies
|July 3, 2025
概括
在初级保健中为老年人共同设计的药物治疗计划显示了可用性和可信度的可行性挑战. 在更广泛实施之前,需要进一步完善评估方法.
科学领域:
- 老年学是一门学科.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 国际指导方针强调联合治疗计划,以确保老年患者的安全.
- 开发了一个共同设计的药物治疗计划,涉及老年人和医疗保健专业人员.
- 这项研究评估了这种药物治疗计划在初级保健机构的可行性.
研究的目的:
- 评估老年人共同设计的药物治疗计划的临床实践可行性.
- 评估研究方法的可行性,以研究计划的更广泛实施.
主要方法:
- 使用定性和定量方法进行前性研究.
- 医生,老年人 (≥75岁) 和亲属共同创建了药物治疗计划.
- 收集关于计划可用性,忠实性,招聘,保留和数据收集的后续数据.
主要成果:
- 医生可用性得分的中位数为51.3/100;参与者注意到了功能和相关性的问题.
- 药物计划忠实度中等,59%的药物有记录的目标.
- 医生的招聘率为75%,老年人的招聘率为70%;没有报告任何不良药物事件.
结论:
- 共同设计的药物计划面临着可用性和可靠性挑战,需要改进原型.
- 在临床实践中使用低保真性原型带来了额外的困难.
- 通过结合定性和定量方法,有效地捕获了患者安全前景;评估方法需要进一步改进.
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