药剂师主导的阿片类药物降低处方试点诊所在门诊息治疗中
Maria Felton Lowry1, Sydney Lee2, Makayla F Hoke3
1University of Pittsburgh School of Pharmacy (M.F.L.), Pittsburgh, Pennsylvania, USA; UPMC Palliative and Supportive Institute (M.F.L.), Pittsburgh, Pennsylvania, USA.
一个由药剂师领导的降低处方计划成功地减少了癌症幸存者的阿片类药物使用. 这项试点研究证明了可行性和安全性,75%的患者减少了口服吗啡等效剂 (OME).
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 药理学 药理学是指药理学的学科.
背景情况:
- 接受阿片类药物治疗的癌症患者需要安全的阿片类药物缓和后缓解策略.
- 专门的息治疗诊所可以支持癌症幸存者管理长期阿片类药物治疗.
研究的目的:
- 评估由药剂师领导的阿片类药物脱处方计划的可行性,安全性和影响.
- 为了减少与癌症幸存者的持续阿片类药物治疗相关的风险.
主要方法:
- 一个由药剂师领导的阿片类药物处方停止计划在一个专门的息护理诊所内实施.
- 该计划的目标是长期使用阿片类药物治疗缓解癌症的患者.
- 通过患者参与和阿片类药物剂量减少来衡量可行性,安全性和影响.
主要成果:
- 80%的转诊患者参与了药剂师主导的计划.
- 75%的患者实现了口服吗啡等价物 (OME) 的平均减少22%.
- 没有因失控疼痛或阿片类药物戒断而入院.
结论:
- 药剂师主导的阿片类药物降低处方是癌症幸存者的可行和安全的策略.
- 密切的患者监测和个性化计划对于成功的阿片类药物停止处方至关重要.
- 这种干预可以减轻长期阿片类药物使用在癌症幸存者的风险.
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