Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
Scand J Prim Health Care. 2010 Jun;28(2):82-8. doi: 10.3109/02813431003765455.
To describe an innovative team intervention to identify and resolve DRPs (drug-related problems) in Norwegian nursing homes.
Descriptive intervention study. Setting. Three nursing homes in Bergen, Norway.
A total of 142 long-term care patients (106 women, mean age 86.9 years).
Systematic medication reviews performed by pharmacists in 142 patients revealed altogether 719 DRPs, of which 504 were acknowledged by the patients' physician and nurses, and 476 interventions were completed. "Unnecessary drug" and "Monitoring required" were the most frequently identified DRPs. Drugs for treating the nervous system and the alimentary tract and metabolism were most commonly questioned.
The multidisciplinary team intervention was suitable to identify and resolve drug-related problems in nursing home settings. Systematic medication reviews and involvement of pharmacists in clinical teams should therefore be implemented on a regular basis to achieve and maintain high-quality drug therapy.
描述一种创新的团队干预措施,以识别和解决挪威养老院中的药物相关问题 (DRP)。
描述性干预研究。
挪威卑尔根的三家养老院。
142 名长期护理患者(106 名女性,平均年龄 86.9 岁)。
通过药剂师对 142 名患者进行的系统药物审查共发现 719 个药物相关问题,其中 504 个得到了患者医生和护士的认可,并完成了 476 项干预措施。“不必要的药物”和“需要监测”是最常被识别的药物相关问题。治疗神经系统和消化道及代谢的药物最常受到质疑。
多学科团队干预措施适合识别和解决养老院中的药物相关问题。因此,应定期进行系统药物审查,并让药剂师参与临床团队,以实现和维持高质量的药物治疗。