为患有艾滋病毒的儿科患者提供远程医疗支持的药丸吞培训:一种多学科的方法
Timothy J Howze1, Susan D Carr1, Megan L Wilkins2
1Departments of Pharmacy & Pharmaceutical Sciences, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN.
Journal of the American Pharmacists Association : JAPhA
|December 11, 2025
概括
远程医疗有效地支持一名儿科艾滋病毒患者吞抗逆转录病毒疗法 (ART) 过渡的药丸. 这种多学科的方法克服了障碍,确保了农村家庭的药物准备和坚持.
科学领域:
- 儿科艾滋病毒管理
- 远程医疗干预 远程医疗干预
- 药物坚持策略 药物坚持策略
背景情况:
- 儿童艾滋病毒患者从液体转移到平板电脑抗逆转录病毒疗法 (ART) 存在挑战.
- 地理和进入障碍往往阻碍了亲自吞药丸的训练.
- 支持药物准备对于长期的坚持和治疗成功至关重要.
研究的目的:
- 描述一项基于远程医疗的多学科干预措施,用于儿童艾滋病毒患者的药丸吞.
- 用虚拟护理和复合安慰剂片来克服面对面培训的障碍.
- 为了证明跨学科的协作药物过渡在服务不足的人群.
主要方法:
- 一名艾滋病毒感染的农村儿科患者通过远程医疗获得了远程行为指导和药剂师指导.
- 与目标ART配方相匹配的复合安慰剂片被邮寄到患者的家中.
- 一位专门的药剂师,心理学家和复合剂工作人员合作进行了干预.
主要成果:
- 患者在远程医疗课程期间成功地吞下了两个安慰剂片,证明了准备.
- 患者在没有并发症的情况下过渡到固定剂量组合ART片.
- 随访时证实了持续的坚持,没有任何不良影响.
结论:
- 远程医疗对于克服儿科艾滋病毒护理中的药丸吞培训障碍是有价值的.
- 跨学科的合作,包括专业药剂师和行为健康提供者,提供公平的解决方案.
- 虚拟培训中的复合安慰剂片是儿科药物转换的实用策略.
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