在老年护理机构中不使用常规药物:一项回顾性观察研究
Stephanie M Garratt1, Maneesh Prasad1, Kelly Ottosen1
1School of Nursing and Midwifery, Monash University, Level 1, 10 Chancellors Walk, Clayton Campus, Melbourne 3800, Australia.
International journal of nursing studies
|August 24, 2025
概括
在老年护理机构中,忽略药物剂量是很常见的,特别是影响消化道和神经系统的药物. 需要改进记录和教育以加强居民护理和支持老年护理工作者.
科学领域:
- 老年学
- 药理学
- 医疗保健管理
背景情况:
- 老年护理机构的药物管理依赖于授权工作人员,有可能错过剂量.
- 目前关于药物剂量遗漏的研究主要集中在医院环境中,缺乏针对老年人护理的具体数据.
- 关于老年护理机构中药物剂量遗漏的经验证据存在重大差距,包括它们的发生,受影响的药物类型和潜在原因.
研究的目的:
- 描述澳大利亚老年护理机构的药物剂量遗漏情况.
- 为了确定患病率,最常被遗漏的药物,遗漏类别,时间和遗漏原因.
- 为改善老年护理中的药物管理实践提供数据.
主要方法:
- 一项回顾性观察研究分析了2023年3月至2024年3月的非识别电子药物管理数据.
- 数据包括居民人口统计,工作人员的许可,以及注册的剂量遗漏原因.
- 统计分析包括描述性统计,t测试,活动模式分析和相关性.
主要成果:
- 在287个医疗设施中,超过12,000名居民平均每隔100剂未服用一剂疫苗.
- 消化道和新陈代谢 (1:26. 84剂量) 和神经系统 (1:53. 65剂量) 药物最常被遗漏.
- 偏醇,药和滑性眼滴是常见的遗漏,其中56%的记录缺乏遗漏理由.
结论:
- 在澳大利亚的老年护理机构中,药物剂量遗漏发生,但记录不一致.
- 对于以居民为中心的护理,缺失管理和记录的标准化是必要的.
- 加强教育和标准化记录可以支持临床决策,并为药物审查提供信息.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
984
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
984
Restorative Care
2.1K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
Drug Therapy
97
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
97
Prescription, Nonprescription and Orphan Drugs
844
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
844
Drug Dosage Regimen: Overview
3.8K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.8K
Factors Affecting Drug Response: Overview
2.4K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.4K


