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药物治疗管理对帕金森病患者的影响。

Impact of medication therapy management in patients with Parkinson's disease.

作者信息

Henrichsmann Martina, Hempel Georg

机构信息

Institute of Pharmaceutical and Medical Chemistry, Westfälische Wilhelms-University Münster, Corrensstraße 48, 48149, Münster, Germany.

出版信息

Int J Clin Pharm. 2016 Feb;38(1):54-60. doi: 10.1007/s11096-015-0206-0. Epub 2015 Nov 21.

DOI:10.1007/s11096-015-0206-0
PMID:26590989
Abstract

BACKGROUND

Since the new German Apothekenbetriebsordnung was released, medication therapy management (MTM) has increased in importance. MTM is intended to improve the quality of life of patients.

OBJECTIVES

The aim of this study was to improve the quality of life of patients with Parkinson's disease through an MTM by a community pharmacist.

SETTING

The patients were recruited in cooperation with the Deutsche Parkinson Vereinigung e.V. (dPV) in Germany. Methods All patients were evaluated at baseline (t0) and after a follow-up of 4 months (t1). During the intervention period, the pharmacists implemented an MTM with standardized pharmaceutical care. Main outcome measure The effects of the interventions were measured by the Unified Parkinson Disease Rating Scale (UPDRS) and the Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS).

RESULTS

In this study, 90 patients with Parkinson's disease were included. The most common intervention was to find a therapy for untreated comorbidities. The UPDRS or MDS-UPDRS improved significantly after the intervention period by a median change rate of 1 (p < 0.05) or rather 2 (p < 0.05) compared to the baseline.

CONCLUSION

The study shows that the quality of life in Parkinson's disease patients improved significantly through MTM.

摘要

背景

自新的德国《药房经营条例》发布以来,药物治疗管理(MTM)的重要性日益增加。MTM旨在提高患者的生活质量。

目的

本研究的目的是通过社区药剂师开展的MTM来提高帕金森病患者的生活质量。

背景

患者是与德国帕金森病协会(dPV)合作招募的。方法:所有患者在基线时(t0)和随访4个月后(t1)进行评估。在干预期内,药剂师实施了标准化药学服务的MTM。主要结局指标:干预效果通过统一帕金森病评定量表(UPDRS)和运动障碍协会统一帕金森病评定量表(MDS-UPDRS)进行测量。

结果

本研究纳入了90例帕金森病患者。最常见的干预措施是为未治疗的合并症寻找治疗方法。与基线相比,干预期后UPDRS或MDS-UPDRS显著改善,中位变化率分别为1(p<0.05)或2(p<0.05)。

结论

该研究表明,通过MTM,帕金森病患者的生活质量得到了显著改善。

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本文引用的文献

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Int J Clin Pharm. 2012 Oct;34(5):746-56. doi: 10.1007/s11096-012-9672-9. Epub 2012 Jul 19.
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Drug-related problems in Parkinson's disease: the role of community pharmacists in primary care.帕金森病中的药物相关问题:初级保健中社区药剂师的作用。
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药物评估对哪些患者亚组有积极结果?一项系统评价。
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Medication Review by Community Pharmacists for Type 2 Diabetes Patients in Routine Care: Results of the DIATHEM-Study.社区药剂师对2型糖尿病患者常规护理中的用药审查:DIATHEM研究结果
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Interprofessional Medication Management in Patients With Multiple Morbidities.多种合并症患者的跨专业药物管理
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Ann Pharmacother. 2008 Sep;42(9):1195-207. doi: 10.1345/aph.1K618. Epub 2008 Aug 5.
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