在中风幸存者中多药和减压态度:加强以患者为中心护理的机会
Alyssa K Chao1, James F Burke2, Ran Bi2
1Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
概括
脑卒中幸存者使用多种药物的比例更高. 无论是中风幸存者还是老年人, 都倾向于降低药物处方, 这凸显了对此群体的药物管理干预的需要.
科学领域:
- 老年学
- 神经学
- 药理学
背景情况:
- 对老年人来说,多药性是很重要的关注点,增加了不良事件的风险.
- 卒中幸存者往往有复杂的健康需求, 需要多种药物,
研究的目的:
- 与没有中风的老年人相比,要量化中风幸存者的多药性患病率.
- 评估中风患者和没有中风的老年人对抑郁症的态度.
主要方法:
- 美国医疗保险受益者的横截面分析 (≥65岁) 来自国家健康和老龄化趋势研究.
- 多种药物分类为没有 (≤5),中度 (6-10),或严重 (>10) 的常用药物.
- 使用药物态度模块评估抑郁态度;对跌倒和并发症进行调整的回归分析.
主要成果:
- 与没有中风的同龄人相比,中风幸存者中中度 (39. 4% vs 29. 8%) 和重度 (22. 6% vs 9. 8%) 多药性病例的发生率明显较高.
- 超过87%的中风幸存者和89%的没有中风的老年人表示愿意停止服用药物.
- 多种药物与对抑郁症的积极态度有着最强烈的关联.
结论:
- 脑卒中幸存者比没有脑卒中的人面临更大的多药性负担.
- 这两组都表现出强烈的偏好,表明对药物优化的接受性.
- 脑卒中幸存者是有针对性的抑郁症治疗举措改善健康状况的关键人口.
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