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马来西亚多民族社区居住的老年患者及其照护者对药物减量的态度:一项横断面问卷调查研究。评论。

Attitudes towards deprescribing among multi-ethnic community-dwelling older patients and caregivers in Malaysia: a cross-sectional questionnaire study. A Comment.

机构信息

Department of Pharmacy, Klinik Kesihatan Puchong, Puchong, Selangor, Malaysia.

School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.

出版信息

Int J Clin Pharm. 2019 Oct;41(5):1131-1132. doi: 10.1007/s11096-019-00891-7. Epub 2019 Aug 23.

Abstract

Understanding older adult and caregiver attitudes towards deprescribing will contribute to medication optimization in clinical practice. The objectives of this study were to explore quantitatively the attitudes and beliefs of older adults and caregivers towards deprescribing and identify participant characteristics that were associated with willingness to have a medication deprescribed. This study was conducted in a government-led primary care health clinic and three private community pharmacies in Malaysia with older adults and caregivers of older adults. The revised patients' attitudes towards deprescribing (rPATD) questionnaire was administered. The rPATD questionnaire had four factors in both older adults' and caregivers' versions of the questionnaire (with four to five questions retained in each factor) alongside two global questions that were not included in any of the scoring factors. Our revised statement of main findings now states that most of older adult (n = 340, 67.7%) and caregiver (n = 34, 65.4%) participants agreed or strongly agreed that they would be willing to stop one or more of their or their care recipient's medications if their or their care recipient's doctor said it was possible to do so.

摘要

了解老年人和照顾者对减药的态度将有助于优化临床实践中的药物管理。本研究的目的是定量探讨老年人和照顾者对减药的态度和信念,并确定与愿意减药相关的参与者特征。本研究在马来西亚一家政府主导的基层医疗诊所和三家私人社区药房进行,对象为老年人及其照顾者。采用修订后的患者对减药的态度问卷(rPATD)进行调查。rPATD 问卷在老年人和照顾者版本的问卷中均有四个因素(每个因素保留四到五个问题),以及两个不包含在任何评分因素中的全球问题。我们修订后的主要发现陈述现在指出,大多数老年人(n=340,67.7%)和照顾者(n=34,65.4%)参与者同意或强烈同意,如果他们或他们的照顾对象的医生说有可能,他们愿意停止服用一种或多种他们或他们的照顾对象的药物。

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