支持在台湾治疗注意力缺陷多动障碍的药物坚持和以患者为中心的护理:以药剂师为导向的观点,通过有针对性的证据提供信息
Yu-Jui Chiu1, Yen-Ming Huang1,2,3
1School of Pharmacy, College of Medicine, National Taiwan University, Taipei City, 100025, Taiwan.
Patient preference and adherence
|March 3, 2026
概括
台湾 台湾 台湾 台湾
科学领域:
- 儿科精神病学 儿科精神病学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 台湾的注意力缺陷/多动症 (ADHD) 护理面临着重大的治疗保留挑战.
- 在ADHD诊断率和持续的长期治疗坚持之间存在差距.
- 现有的以医院为中心的模型可能无法充分支持持续的ADHD管理.
研究的目的:
- 综合台湾儿童多动症患者药物不服药的因素的证据.
- 提出药剂师驱动的精确方法来提高ADHD治疗的坚持.
主要方法:
- 应用SPIDER框架来审查现有文献.
- 将坚持障碍分为五个领域:药物,儿童,家庭,学校和医疗保健系统.
- 开发一个新的药剂师主导的干预策略.
主要成果:
- 确定了多维障碍对ADHD药物坚持的障碍,包括剂量复杂性,发育自主性,社会经济因素,学校耻辱和系统级问题.
- 医院为中心的护理模式对于持续的治疗参与是不够的.
- 一个由药剂师驱动的方法提供了一个可行的解决方案,以改善遵守.
结论:
- 解决ADHD药物不服症需要一个超出医院环境的多方面的策略.
- 药剂师驱动的精确方法,包括治疗方案优化和数字工具,可以提高治疗持续性.
- 社区药剂师可以作为关键促进者,在不同生命阶段持续照顾ADHD.
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