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Educating Homecare Nurses about Deprescribing of Medications to Manage Polypharmacy for Older Adults.对家庭护理护士进行关于减少用药以管理老年人多重用药问题的培训。
West J Nurs Res. 2021 Jan 12;43(11):193945920982599. doi: 10.1177/0193945920982599.
2
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Education about deprescribing for pre-licensed and licensed healthcare professionals: A scoping review.针对未获得执照和已获得执照的医疗保健专业人员的减药教育:一项范围综述。
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Age Ageing. 2025 Feb 2;54(2). doi: 10.1093/ageing/afaf031.
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Polypharmacy in the Homebound Population.居家人群中的多种药物疗法。
Clin Geriatr Med. 2022 Nov;38(4):685-692. doi: 10.1016/j.cger.2022.05.008. Epub 2022 Sep 13.
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Development and Validation of Comprehensive Healthcare Providers' Opinions, Preferences, and Attitudes towards Deprescribing (CHOPPED Questionnaire).综合医疗服务提供者对减药的意见、偏好和态度的问卷(CHOPPED问卷)的开发与验证
Pharmacy (Basel). 2022 Jul 1;10(4):76. doi: 10.3390/pharmacy10040076.
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Deprescribing of Inappropriate Medications for Persons with Dementia in Long-Term Care.长期护理机构中痴呆症患者不适当药物的停用
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本文引用的文献

1
Exploration of home care nurse's experiences in deprescribing of medications: a qualitative descriptive study.居家护理护士在药物减量方面的经验探索:一项定性描述性研究。
BMJ Open. 2019 May 24;9(5):e025606. doi: 10.1136/bmjopen-2018-025606.
2
Deprescribing benzodiazepine receptor agonists: Evidence-based clinical practice guideline.苯二氮䓬类受体激动剂的撤药:基于证据的临床实践指南。
Can Fam Physician. 2018 May;64(5):339-351.
3
Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia: Evidence-based clinical practice guideline.抗精神病药减停用于痴呆和失眠的行为和心理症状:基于证据的临床实践指南。
Can Fam Physician. 2018 Jan;64(1):17-27.
4
Deprescribing antihyperglycemic agents in older persons: Evidence-based clinical practice guideline.老年人停用抗高血糖药物:基于证据的临床实践指南。
Can Fam Physician. 2017 Nov;63(11):832-843.
5
What is polypharmacy? A systematic review of definitions.什么是多重用药?定义的系统综述。
BMC Geriatr. 2017 Oct 10;17(1):230. doi: 10.1186/s12877-017-0621-2.
6
Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline.停用质子泵抑制剂:循证临床实践指南。
Can Fam Physician. 2017 May;63(5):354-364.
7
Health Care Practitioners' Perspectives on Deprescribing Anticholinergic and Sedative Medications in Older Adults.医疗从业者对老年人停用抗胆碱能药物和镇静药物的看法。
Ann Pharmacother. 2016 Aug;50(8):625-36. doi: 10.1177/1060028016652997. Epub 2016 Jun 1.
8
A guide to scaling up population health interventions.扩大人群健康干预措施指南。
Public Health Res Pract. 2016 Jan 28;26(1):e2611604. doi: 10.17061/phrp2611604.
9
American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.美国老年医学会2015年更新的《老年人潜在不适当用药的Beers标准》
J Am Geriatr Soc. 2015 Nov;63(11):2227-46. doi: 10.1111/jgs.13702. Epub 2015 Oct 8.
10
Education to reduce potentially harmful medication use among residents of assisted living facilities: a randomized controlled trial.教育以减少辅助生活设施居民潜在有害药物使用:一项随机对照试验。
J Am Med Dir Assoc. 2014 Dec;15(12):892-8. doi: 10.1016/j.jamda.2014.04.002. Epub 2014 May 10.

对家庭护理护士进行关于减少用药以管理老年人多重用药问题的培训。

Educating Homecare Nurses about Deprescribing of Medications to Manage Polypharmacy for Older Adults.

作者信息

Sun Winnie, Tahsin Farah, Abbass Dick Jennifer, Barakat Caroline, Turner Justin, Wilson Dale, Reid-Haughian Cheryl, Ashtarieh Bahar

机构信息

Ontario Tech University, Oshawa, ON, Canada.

Université de Montréal, Montréal, QC, Canada.

出版信息

West J Nurs Res. 2021 Jan 12;43(11):193945920982599. doi: 10.1177/0193945920982599.

DOI:10.1177/0193945920982599
PMID:33435859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8495304/
Abstract

The purpose of this study is to evaluate the acceptability, appropriateness, and effectiveness of educational intervention with homecare nurses about deprescribing of medications among older adults. An evaluation research study was conducted using survey design to evaluate deprescribing education with a total sample of 45 homecare nurses from three homecare organizations. Post-training evaluation data were evaluated using Likert scale and open-ended questions were analyzed using descriptive statistical analyses and qualitative thematic analysis. Post-intervention questionnaire responses provided descriptions about homecare nurses' perspectives related to deprescribing education, as well as the effectiveness of training in addressing their knowledge gaps. The pilot-testing of deprescribing learning modules and educational training revealed acceptability and suitability for future scale-up to expand its future reach and adoption by other homecare organizations. This study provided important implications into the barriers that impact the effectiveness of deprescribing education, and facilitators that support the future refinement of learning modules.

摘要

本研究的目的是评估针对家庭护理护士开展的关于老年人减药的教育干预的可接受性、适宜性和有效性。采用调查设计进行了一项评估研究,以评估来自三个家庭护理机构的45名家庭护理护士的减药教育情况。培训后评估数据采用李克特量表进行评估,开放式问题采用描述性统计分析和定性主题分析进行分析。干预后问卷回复提供了有关家庭护理护士对减药教育的看法,以及培训在弥补其知识差距方面的有效性的描述。减药学习模块和教育培训的试点测试显示了其可接受性和适用性,以便未来扩大规模,供其他家庭护理机构采用。本研究为影响减药教育有效性的障碍以及支持未来完善学习模块的促进因素提供了重要启示。