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Updated: Jan 7, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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提高老年人药物坚持:对基于证据的策略进行系统审查
Stefano Scotti1,2, Luca Pasina3, Carlotta Lunghi4,5,6
1Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy.
Journal of the American Geriatrics Society
|December 30, 2025
概括
改善老年人的药物坚持对于更好的健康结果至关重要. 这次审查发现,大多数干预措施都显示出短期益处,但异质性限制了长期有效性.
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.
- 公共卫生 公共卫生
背景情况:
- 药物坚持对健康结果至关重要,特别是在患有多种慢性疾病的老年人中.
- 老年人 (≥60岁) 由于复杂的治疗方案和并发症,经常面临药物坚持方面的挑战.
研究的目的:
- 系统地审查和批判性地评估旨在提高老年人药物坚持性的干预措施的证据.
- 确定有效的干预组件和影响因素,以改善这一群体的药物坚持.
主要方法:
- 在PubMed/MedLine,EMBASE和Web of Science进行了全面的文献搜索,截至2024年12月31日.
- 包括同行评审的研究,评估60岁及以上成年人药物坚持干预措施.
- 评估干预的有效性,临床参数,生活质量,再住院,死亡率,可行性和成本效益.
主要成果:
- 包括128项研究 (96项RCT,16项前后,9项非RCT,7项纵向),主要是在初级保健机构进行的.
- 干预经常包括教育 (56.3%),技术 (47.6%) 和态度 (32.0%) 的组成部分;奖励很少 (3.2%).
- 大多数研究报告了改善的坚持,但有效性受到高基线坚持,强度不足和短后续期的限制.
结论:
- 大多数干预措施都对老年人药物坚持产生了积极的短期影响.
- 研究和干预措施之间观察到显著的异质性,影响了长期的有效性.
- 未来的研究应该专注于优化干预强度和持续时间,以持续改善坚持.
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