一个药剂师倡议,以减少在初级保健中处方阿片类药物
Simon Gill1, John Bailey2, Sadia Bashir Nafees2
1Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board, Wrexham LL13 7TD, United Kingdom.
一家由药剂师领导的诊所有效地减少了初级保健中阿片类药物处方. 大多数患者的强阿片类药物剂量降低或停止,没有报告的不良事件.
科学领域:
- 主要的护理是初级保健.
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 处方阿片类药物在初级保健中带来了挑战,特别是在社会贫困地区.
- 一般医生 (GPs) 在治疗慢性疼痛的强烈阿片类药物治疗中遇到困难.
- 基于地方的全科医生人员配置可能会影响护理连续性和药物审查.
研究的目的:
- 评估药剂师领导的诊所在减少阿片类药物处方方面的有效性.
- 评估药剂师干预对初级保健患者阿片类药物剂量的影响.
- 确定药剂师主导的阿片类药物减少策略的可行性和安全性.
主要方法:
- 对阿片类药物处方数据的回顾性分析.
- 包括服用强阿片类药物治疗疼痛的患者.
- 从一家服务于社会贫困人口的初级保健实践中收集的数据.
主要成果:
- 中位数阿片类药物剂量从80毫克口服吗啡减少到相当于30毫克.
- 78.7%的患者 (47人中有37人) 经历了降低或停止阿片类药物的剂量.
- 在干预期间没有报告任何不良事件.
结论:
- 药剂师主导的诊所是初级保健中阿片类药物管理的可行模型.
- 这种干预措施在减少阿片类药物药物负担方面表现出有效性.
- 这种方法似乎是安全的,并且被患者容忍得很好.
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