目的:分析有关定性研究的科学文献,该研究研究了药物治疗经验-MedExp和相关的药物干预措施,这些措施可以改变患者的健康状况。通过对本次范围审查的内容分析,我们打算:(1)了解药剂师如何分析接受全面药物管理CMM的患者的MedExp,以及(2)解释他们建立的类别以及他们如何解释个人,心理,以及MedExp的文化层面。
方法:范围审查遵循了PRISMA扩展对范围审查的建议。Medline(Pubmed),Scopus,WebofScience,和Psycinfo用于识别由药剂师参加的患者对MedExp的研究;并且它们符合质量标准,报告定性研究标准。包括以英文和西班牙文发表的文章。
结果:确定了395项定性调查,344人被排除在外。总的来说,19项调查符合纳入标准。审稿人之间的协议,κ指数0.923,95%CI(0.836-1.010)。患者演讲的分析单位与他们的药物治疗进展以及如何通过MedExp构建有关,它对生病经历的影响,与社会经济方面的联系,和信仰。基于MedExp,药剂师提出了文化建议,支持网络,卫生政策,并提供有关药物和疾病的教育和信息。此外,确定了干预措施的特征,比如对话模型,治疗关系,共同决策,综合方法,并推荐给其他专业人士。
结论:MedExp是一个广泛的概念,其中包括根据个人使用药物的人们的生活经验,心理,和社会素质。这个MedExp是下士,故意的,中间的,和关系,扩展到集体,因为它意味着信仰,文化,伦理,以及每个人所处环境中的社会经济和政治现实。
Analyze scientific literature on qualitative research that studies the medication experience-MedExp-and related pharmaceutical interventions that bring changes in patients\' health. Through the content analysis of this scoping
review, we intend to: (1) understand how pharmacists analyze the MedExp of their patients who receive Comprehensive Medication Management CMM and (2) explain which categories they establish and how they explain the individual, psychological, and cultural dimensions of MedExp.
The scoping
review followed recommendations from PRISMA Extension for Scoping Reviews. Medline (Pubmed), SCOPUS, Web of Science, and Psycinfo were used to identify research on MedExp from patients attended by pharmacists; and that they comply with quality standards, Standards for Reporting Qualitative Research. Articles published in English and Spanish were included.
395 qualitative investigations were identified, 344 were excluded. In total, 19 investigations met the inclusion criteria. Agreement between reviewers, kappa index 0.923, 95% CI (0.836-1.010). The units of analysis of the patients\' speeches were related to how they were progressing in their medications and how it was built through MedExp, the influence it has on the experience of becoming ill, the connection with socioeconomic aspects, and beliefs. Based on MedExp, the pharmacists raised cultural proposals, support networks, health policies, and provide education and information about medication and disease. Additionally, characteristics of the interventions were identified, such as a dialogic model, therapeutic relationship, shared decision-making, comprehensive approach, and referrals to other professionals.
The MedExp is an extensive concept, which encompasses people\'s life experience who use medications based on their individual, psychological, and social qualities. This MedExp is corporal, intentional, intersubjective, and relational, expanding to the collective because it implies beliefs, culture, ethics, and the socioeconomic and political reality of each person located in their context.