药剂师领导的复杂干预的实施评估:嵌入ASPIRE随机对照试验中的混合方法分析
Laura Hellemans1, Julie Hias2, Leen Haegemans3
1Research foundation Flanders (FWO), Brussels, Belgium; Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium; Hospital pharmacy department, University Hospital Leuven, Leuven, Belgium.
通过实施药物管理策略,ASPIRE干预成功地减少了老年患者的医院复诊. 这种复杂的干预措施被证明是可行的和可接受的,为进一步对老年人进行有效性研究铺平了道路.
科学领域:
- 老年医学 老年医学
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有多种并发症和药物的老年患者面临与药物相关的高危险.
- 复杂的干预措施,如药物调和,显示出希望,但在老年人群中面临实施挑战.
- 该ASPIRE项目侧重于一项复杂的干预措施,以减少老年患者的再入院,同时确保成功实施.
研究的目的:
- 评估ASPIRE干预项目的实施情况.
- 评估实施策略,真实性,可行性和可接受性.
- 记录ASPIRE干预的过程结果.
主要方法:
- 使用定量和定性数据进行融合并行混合方法设计.
- 由实施变革 (ERIC) 专家建议指导的实施策略.
- 准确性以数量衡量 (≥80%的门),可行性和可接受性以质量评估.
主要成果:
- 在ASPIRE干预中,有415名参与者 (平均年龄为85.9岁).
- 实现成功实施,87%的患者接受所有组件;干预被认为是可行的和可接受的.
- 关键的成功因素包括足够的资源,培训,协作,共享系统和详细的指南.
结论:
- 在老年患者中,ASPIRE干预证明了成功实施,可行性和可接受性.
- 该干预措施显示了改善老年人的护理和减少老年人再次入院的潜力.
- 高的实施水平支持进一步评估ASPIRE干预的有效性.
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