护士在老年人抑郁症的作用:一个范围审查
Giorgia Barbuiani1, Stefano Terzoni2, Rosario Caruso2
1University of Milano - Bicocca, Department of Medicine and Surgery, Via Cadore 48, 20900, Monza, MB, Italy; University of Milan, Department of Biomedical Sciences for Health, Via Carlo Pascal, 36, 20133, Milan, MI, Italy.
International journal of nursing studies
|November 15, 2025
概括
护士在降低处方,通过审查和教育改善老年人药物安全方面至关重要. 需要加强支持和培训,以将护士领导的抑郁症干预措施纳入实践.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 护理实践 护理实践
背景情况:
- 停止处方对于优化老年人药物治疗方案至关重要.
- 护士在药物管理的多学科团队中发挥着不可或缺的作用.
- 关于护士对抑郁症的具体贡献的证据需要全面地图.
研究的目的:
- 绘制有关护士在抑郁症治疗中的角色和贡献的证据.
- 确定护士参与抑郁症的促进者和障碍.
- 在各种临床环境中探索抑郁症的干预措施.
主要方法:
- 使用Arksey和O'Malley的框架和JBI方法的范围审查.
- 在多个数据库 (CINAHL,Embase,MEDLINE,Web of Science,Scopus,Google Scholar) 中进行系统搜索.
- 包括在医院,家庭或社区环境中对护士和老年人 (≥65岁) 的抑郁症的研究.
主要成果:
- 包括28项研究,突出护士在药物审查,药物遵守评估和患者教育方面的关键作用.
- 护士主导的干预措施在减少潜在不合适的药物和改善坚持方面表现出有效性.
- 促进者包括跨学科的合作和培训;障碍涉及有限的资源和分散的护理.
结论:
- 护士在老年人的抑郁症处方过程中发挥着至关重要的,不断变化的作用.
- 通过组织支持,技术和培训赋予护士权力,对于药物安全至关重要.
- 需要进一步进行高质量的研究,包括RCT和实施研究,以指导护士主导的脱处方干预.
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