评估在瑞士养老院中实施抑郁症干预的实施:使用定性和定量方法的观察性研究
Stephanie Mena1,2,3, Julie Dubois4,5, Florent Macé1
1Community Pharmacy, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Exploratory research in clinical and social pharmacy
|February 24, 2026
概括
养老院的处方干预措施显示出良好的初始实施和医疗保健专业人员的满意度. 然而,长期可持续性需要解决居民抵抗和员工流动等障碍.
科学领域:
- 老年学是指老年学的学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
背景情况:
- 多药在老年人中很普遍,需要药物戒断策略.
- 处方干预在常规临床实践中面临实施挑战.
- 个人处方干预 (IDEI) 是为了解决养老院的药物审查而开发的.
研究的目的:
- 评估在瑞士养老院实施个体降低处方干预 (IDEI) 的情况.
- 识别影响抑郁症成功融入实践的促进者和障碍.
- 评估IDeI的可行性,覆盖范围,采用和可持续性.
主要方法:
- 采用了混合型2有效性-实施研究设计.
- 通过使用FISpH框架与护士,医生和药剂师进行半结构面试,收集了定性数据.
- 从行政来源收集了定量数据,以评估实施结果.
主要成果:
- 在七个养老院中有六个成功实施了IDeI,具有良好的忠诚度和高的医疗保健专业满意度.
- 关键的促进者包括专业间合作,药剂师对记录的访问和结构化流程.
- 主要障碍是居民/家庭对减记药物的抵抗以及居民/工作人员的流动,这影响了长期的可持续性.
结论:
- IDeI展示了可行性和在养老院的良好初步采用,强调了跨专业合作的重要性.
- 维持抑郁症干预措施需要战略来克服阻力和减轻周转.
- 加强可持续性的建议包括财政激励,药剂师培训,审计和反,以及更多的居民/家庭参与.
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