Hashimoto Ryota, Fujii Keiko, Yoshida Kazuko, Shimoji Shizuka, Masaki Hidenori, Kadoyama Kaori, Nakamura Toshiaki, Onda Mitsuko
Saera Pharmacy.
Education and Research Center for Clinical Pharmacy, Osaka University of Pharmaceutical Sciences.
Yakugaku Zasshi. 2018;138(9):1217-1225. doi: 10.1248/yakushi.18-00065.
The current study aimed to examine the outcomes of pharmacists' involvement with elderly people in special nursing homes. We analyzed 58 cases involving regular visits by community pharmacists to 41 residents. The residents' mean age was 87.8±6.9 years, and 68.3% were prescribed 6 or more types of medication. Antipsychotic and insomnia medication was taken by 24.4% and 31.8% of residents, respectively. Pharmaceutical consultation following medication use accounted for 60.3% of pharmacists' involvement with residents. The outcomes of these consultations included improvements in prescription content; the identification and prevention of adverse drug events; improvement in activities of daily living; and improvement in test results, sleep, and urination/bowel control. The results also suggested that pharmacists' intervention reduced drug costs. Information that facilitated involvement was most frequently acquired via conversations (67.2%) and conferences (24.1%) in the facilities. The most common information sources were care workers (72.4%), followed by nurses (37.9%), physicians (6.9%), and functional training instructors (6.9%). Information was also acquired from patients (3.4%) and their family members (5.2%). The findings indicated that regular visits by pharmacists to facilities for elderly people and conversations between residents, their family members, and physicians, nurses and various other professionals improved various pharmacotherapy outcomes.
本研究旨在探讨药剂师参与特殊养老院老年人护理工作的成效。我们分析了社区药剂师对41位居民进行定期家访的58个案例。居民的平均年龄为87.8±6.9岁,68.3%的居民被开具了6种或更多类型的药物。分别有24.4%和31.8%的居民服用抗精神病药物和失眠药物。用药后进行的药学咨询占药剂师与居民接触工作的60.3%。这些咨询的结果包括处方内容的改善;药物不良事件的识别与预防;日常生活活动能力的改善;以及检查结果、睡眠和排尿/排便控制的改善。结果还表明,药剂师的干预降低了药物成本。促进参与的信息最常通过设施内的交谈(67.2%)和会议(24.1%)获取。最常见的信息来源是护理人员(72.4%),其次是护士(37.9%)、医生(6.9%)和功能训练指导员(6.9%)。信息也来自患者(3.4%)及其家庭成员(5.2%)。研究结果表明,药剂师定期走访老年人设施以及居民、其家庭成员与医生、护士和其他各类专业人员之间的交谈改善了多种药物治疗效果。