■随着年龄的增长,由于身体系统的变化,它们越来越容易受到药物的不利影响。这些可能导致药物相关问题(MRP)和随之而来的健康下降或恶化。
■要识别MRP,与这些MRP相关的恶化指标,以及文献中的预防性干预措施。
■关于老年人初级保健中的MRP的初步研究的系统评价。
■2001年至2018年4月发表的相关研究来自Medline(通过PubMed),CINAHL,Embase,心理信息,帕斯卡尔,Scopus,科克伦图书馆,科学直接,还有Zetoc.瀑布,谵妄,压疮,住院治疗,使用卫生服务和死亡是公认的恶化指标.使用DownandBlack工具评估纳入研究的方法学质量。
■从数据库中检索到1858篇文章。在这些中,21篇全文符合审查的纳入标准。MRP鉴定为用药错误,潜在的不适当的药物,药物不良反应和不依从性。这些与恶化的指标有关。涉及医生的干预措施,药剂师和患者在计划和实施中,在停止MRP方面获益.
■本系统综述总结了MRP和相关的恶化指标。适当的干预措施似乎对某些MRP及其后果有效。必须进行进一步的研究,以探索本系统综述中提出的恶化。
UNASSIGNED: As people age, they become increasingly vulnerable to the untoward effects of medicines due to changes in body systems. These may result in medicines related problems (
MRPs) and consequent decline or deterioration in health.
UNASSIGNED: To identify
MRPs, indicators of deterioration associated with these
MRPs, and preventative interventions from the literature.
UNASSIGNED: Systematic review of primary studies on
MRPs originating in Primary Care in older people.
UNASSIGNED: Relevant studies published between 2001 and April 2018 were obtained from Medline (via PubMed), CINAHL, Embase, Psych Info, PASCAL, Scopus, Cochrane Library, Science Direct, and Zetoc. Falls, delirium, pressure ulcer, hospitalization, use of health services and death were agreed indicators of deterioration. The methodological quality of included studies was assessed using the Down and Black tool.
UNASSIGNED: There were 1858 articles retrieved from the data bases. Out of these, 21 full text articles met inclusion criteria for the review.
MRPs identified were medication error, potentially inappropriate medicines, adverse drug reaction and non-adherence. These were associated with indicators of deterioration. Interventions that involved doctors, pharmacists and patients in planning and implementation yielded benefits in halting MRPs.
UNASSIGNED: This Systematic review summarizes MRPs and associated indicators of deterioration. Appropriate interventions appeared to be effective against certain
MRPs and their consequences. Further studies to explore deterioration presented in this systematic review is imperative.