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药剂师在处理过度多药的干预中所扮演的角色:一个范围审查
Rania Ouraou1, Benoît Cossette2, Marie-Eve Perron3
1Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
International journal of clinical pharmacy
|August 2, 2025
概括
药剂师在管理过度的多药制品方面发挥着关键作用,专注于药物调和,适当性和在各种环境中监测患者. 需要进一步的研究,特别是在社区药房.
科学领域:
- 药房实践 在药房实践.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 过度使用多种药物 (≥10种药物) 会增加药物不良反应,住院和死亡等风险.
- 药剂师在药物管理方面的专业知识使他们能够减轻这些风险.
- 了解药剂师在解决多药学方面的角色对于改善患者的治疗结果和医疗保健效率至关重要.
研究的目的:
- 审查和综合有关药剂师在管理过度多药的多面性角色的文献.
- 识别药剂师干预的不同护理环境.
- 突出当前关于药剂师主导的多药药干预研究的差距.
主要方法:
- 通过使用Arksey和O'Malley的框架进行了全面的范围审查,Levac等加强了该框架.
- 在五个主要数据库 (MEDLINE,EMBASE,PubMed,CINAHL,Cochrane CENTRAL) 进行了搜索,截至2024年6月.
- 数据的提取和分析遵循PRISMA-ScR指南,使用叙事合成.
主要成果:
- 包括19项研究,主要来自高收入国家,并于2019年后发表.
- 药剂师的干预发生在初级保健,医院,家庭护理和长期护理,但在社区药房显著缺席.
- 确定的关键角色包括药物调和,适当性评估,处方者教育和患者监测,强调合作和利用多药房管理工具.
结论:
- 药剂师通过在各种医疗保健机构中扮演不同的角色,积极管理过度多药.
- 影响这些角色的因素包括实践范围,专业间的亲密关系和专业培训.
- 对社区药房干预措施的进一步调查是有必要的.
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