对比ASHP和PQA框架,用于识别COPD老年人的药物治疗问题,这些老年人被送往家庭医疗保健:一项跨部门研究
Avery North1, Grant H Skrepnek2, Richard Matthew Atkins3
11 Atrium Health Cabarrus, Concord, North Carolina.
The Senior care pharmacist
|January 20, 2026
概括
药剂师在退院后发现慢性阻塞性肺病 (COPD) 的老年人中存在药物治疗问题 (MTP). ASHP框架检测到的MTP比PQA框架更多,突出了潜在的护理差距.
科学领域:
- 老年病的医生 老年病的医生
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 美国每年有近90万患有慢性阻塞性肺病 (COPD) 的患者需要家庭医疗保健.
- 药剂师对于管理COPD老年人的药物治疗问题 (MTP) 在护理过渡期间至关重要.
研究的目的:
- 在接受住院后家庭医疗保健的老年COPD患者中识别,分类和比较MTP.
- 评估不同MTP分类框架的有效性.
主要方法:
- 在65岁以上的患有COPD的成年人中进行了横截面研究,这些成年人从学术医疗中心出院.
- 使用美国卫生系统药剂师协会 (ASHP) 和药房质量联盟 (PQA) 框架进行分类的MTP.
主要成果:
- 其中92.3%的患者 (n=13) 经历过至少一次MTP.
- 近80%的MTP与药物指示有关;50%缺乏指示药物,40%有未指示药物.
- 与PQA相比,ASHP框架发现了超过两倍的MTP.
结论:
- ASHP框架可能更全面地用于识别这一群体中的MTP.
- 需要进一步研究药剂师对MTP在不同环境中的干预措施.
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