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社区药剂师在支持有姑息治疗需求的老年人方面的角色与职责:文献快速综述

The Roles and Responsibilities of Community Pharmacists Supporting Older People with Palliative Care Needs: A Rapid Review of the Literature.

作者信息

Tait Paul, Chakraborty Amal, Tieman Jennifer

机构信息

Southern Adelaide Palliative Services, Flinders Medical Centre, SA Health, Bedford Park, SA 5042, Australia.

Research Centre for Palliative Care, Death and Dying, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA 5042, Australia.

出版信息

Pharmacy (Basel). 2020 Aug 12;8(3):143. doi: 10.3390/pharmacy8030143.

Abstract

Globally, the number of older people requiring appropriate and safe management of medicines is growing. This review aimed to identify the roles and responsibilities of pharmacists supporting older people living in a community setting with their palliative care needs and to synthesise key themes emerging from the data, as well as any gaps in knowledge. The literature search included Medline (Ovid), Scopus, and Cinahl (Ebsco) databases. An English language limit was applied. The search included all international articles and any date of publication. Data were synthesised utilizing a systematic text condensation technique and presented according to Theme, Domain, and Meaning Units. Fourteen studies met the inclusion criteria. Selected papers predominantly focused on care provided by the pharmacists supporting people receiving residential aged care services. Clinical review, supply of medicines, and clinical governance were identified as key pharmacist roles. Pharmacists' communication skills, personal behavioural approach, and positive attitude emerged as supportive characteristics for effective person-centered care. Minimal, or no information, were available related to pharmacists located in general medical practices and in Aboriginal health services sector, respectively. The multifaceted role of pharmacists presents an opportunity to provide comprehensive health care for older populations at the end of their life.

摘要

在全球范围内,需要对药物进行适当和安全管理的老年人数量正在增加。本综述旨在确定药剂师在支持社区环境中患有姑息治疗需求的老年人方面的角色和职责,并综合数据中出现的关键主题以及知识空白。文献检索包括Medline(Ovid)、Scopus和Cinahl(Ebsco)数据库。设定了英文语言限制。检索涵盖所有国际文章及任何出版日期。利用系统文本浓缩技术对数据进行综合,并按照主题、领域和意义单元进行呈现。十四项研究符合纳入标准。所选论文主要关注药剂师为接受老年护理服务的人群提供的护理。临床审查、药品供应和临床治理被确定为药剂师的关键角色。药剂师的沟通技巧、个人行为方式和积极态度成为以患者为中心的有效护理的支持性特征。分别关于普通医疗实践中的药剂师和原住民卫生服务部门中的药剂师的信息极少或没有。药剂师的多方面角色为在老年人生命末期提供全面医疗保健提供了机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ac/7558267/6b7aab5c2880/pharmacy-08-00143-g001.jpg

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