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社区药剂师主导的改善孕前和孕期健康的干预措施:一项系统评价。

Community Pharmacist-Led Interventions to Improve Preconception and Pregnancy Health: A Systematic Review.

作者信息

Scott Polly A, Quotah Ola F, Dalrymple Kathryn V, White Sara L, Poston Lucilla, Farebrother Jessica, Lakhani Shivali, Alter Marsha, Blair Mitch, Weinman John, Flynn Angela C

机构信息

Department of Women and Children's Health, School of Life Course Sciences, King's College London, London SE1 7EH, UK.

Human Nutrition Laboratory, Institute of Food, Nutrition and Health, ETH Zurich, 8092 Zurich, Switzerland.

出版信息

Pharmacy (Basel). 2021 Oct 16;9(4):171. doi: 10.3390/pharmacy9040171.

DOI:10.3390/pharmacy9040171
PMID:34698302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8544701/
Abstract

: Community pharmacist-led interventions are effective in improving health outcomes; however, their impact in improving preconception and pregnancy health is not clear. This study evaluated the effectiveness of community pharmacist-led interventions which aimed to improve health outcomes of preconception and pregnant women. A systematic review of the literature, consistent with PRISMA guidelines, was performed. Five electronic databases were searched up to February 2021. Four studies, three in pregnant women and one in preconception women, were identified. The studies focused on improving micronutrient status and smoking cessation. The studies increased knowledge about, and use of, iron supplements, and improved iron status and smoking cessation rates in pregnant women, while improving knowledge regarding, and increasing the use of, preconception folic acid. The studies were ranked as weak to moderate quality. This review provides preliminary evidence for the potential benefit of community pharmacist-led interventions to improve the health of women before and during pregnancy.

摘要

由社区药剂师主导的干预措施在改善健康结果方面是有效的;然而,它们在改善孕前和孕期健康方面的影响尚不清楚。本研究评估了由社区药剂师主导的旨在改善孕前和孕妇健康结果的干预措施的有效性。按照PRISMA指南对文献进行了系统综述。检索了截至2021年2月的五个电子数据库。确定了四项研究,其中三项针对孕妇,一项针对孕前女性。这些研究侧重于改善微量营养素状况和戒烟。这些研究增加了对铁补充剂的了解和使用,改善了孕妇的铁状况和戒烟率,同时提高了对孕前叶酸的认识并增加了其使用。这些研究的质量被评为低到中等。本综述为社区药剂师主导的干预措施对改善女性孕前和孕期健康的潜在益处提供了初步证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb9/8544701/2687c445cbb7/pharmacy-09-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb9/8544701/2687c445cbb7/pharmacy-09-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb9/8544701/2687c445cbb7/pharmacy-09-00171-g001.jpg

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本文引用的文献

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2
Iodine status of pregnant women with obesity from inner city populations in the United Kingdom.英国城市内肥胖孕妇的碘营养状况。
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Patient Screenings for Preconception Health Interventions at a Community Pharmacy.社区药房孕前健康干预的患者筛查
农村孕产妇保健匮乏地区药剂师主导的孕前保健推广项目描述性报告
Pharmacy (Basel). 2023 Nov 10;11(6):176. doi: 10.3390/pharmacy11060176.
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Outcomes of Pharmacist-Led Pharmaceutical Care Interventions Within Community Pharmacies: Narrative Review.社区药房中由药剂师主导的药学服务干预的结果:叙述性综述
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Pharmacy (Basel). 2020 Oct 5;8(4):181. doi: 10.3390/pharmacy8040181.
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Matern Child Health J. 2020 Mar;24(3):389-400. doi: 10.1007/s10995-019-02835-z.
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The Association between Iron-deficiency Anemia and Adverse Pregnancy Outcomes: A Retrospective Report from Pakistan.缺铁性贫血与不良妊娠结局之间的关联:来自巴基斯坦的一项回顾性报告。
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