重新构建多药房:赋予医学学生管理慢性疾病的药物负担
Andreas Conte1, Anita Sedghi2, Azeem Majeed2
1Faculty of Life Sciences & Medicine, King's College London, London SE1 1UL, UK.
Clinics and practice
|August 27, 2025
概括
医生们被训练把多种药物治疗视为一种慢性疾病, 这种教育方法提高了患者的安全性,并为管理多种药物的课程设计提供了信息.
科学领域:
- 医学教育
- 临床药房
- 老年医学
背景情况:
- 多药性 (同时使用五种或更多药物) 在老年多病患者中很普遍.
- 医疗教育往往缺乏识别和管理多药学的系统培训.
- 由于多药店管理不充分,患者的安全受到损害.
研究的目的:
- 评估结构化学习干预对医学学生多药房管理技能的影响.
- 评估诊断能力的提高,信心和专业间的合作.
- 研究多药学作为一种慢性疾病的有效性.
主要方法:
- 一项涉及50名医学生的前性队列研究.
- 三阶段干预:研讨会,模拟患者与药剂师的咨询,以及反思性报告.
- 干预前后的问卷评估了知识,信心和态度; 从日记中获得的定性数据进行了主题分析.
主要成果:
- 在识别多药症症状和建议降低处方策略方面观察到显著的改善.
- 学生对多药学优先考虑的信心从32%增加到86% (p < 0.01).
- 关于沟通和以患者为中心的标准化患者满意度得分显著改善 (p < 0. 01).
结论:
- 作为一种慢性疾病的多药学教学提高了医学学生的诊断能力和跨专业团队合作.
- 这项干预措施对患者的安全产生了积极影响,并为将多药房管理纳入临床实践提供了一个模式.
- 进一步的研究应评估患者的长期结果和临床决策.
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