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在社区药房使用欧洲五维健康量表(EuroQol 5D-3L)对新冠疫情期间使用苯二氮䓬类药物的患者进行生活质量评估。

Quality of Life Assessment in Patients Using Benzodiazepines during the COVID-19 Pandemic in a Community Pharmacy Using EuroQol 5D-3L.

作者信息

Alberto Armas Daida, Santana Ayala Juan Ramón, Román Castillo Yanira, Hardisson de la Torre Arturo, Rubio Armendáriz Carmen

机构信息

Toxicology Department, Universidad de La Laguna, 38071 Canary Islands, Spain.

Community Pharmacy, 38010 Canary Islands, Spain.

出版信息

Pharmacy (Basel). 2023 Jan 18;11(1):19. doi: 10.3390/pharmacy11010019.

DOI:10.3390/pharmacy11010019
PMID:36827657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9959496/
Abstract

Users of benzodiazepines (BZDs) should have their quality of life monitored to minimize the risks associated with long-term treatments. The aim of this study is to use the EuroQol 5D-3L to analyze the quality of life of 127 patients under treatment with BZDs during the COVID-19 pandemic. The results show that lorazepam comprises 25.49% of all dispensing requests, and that the mean duration of BZDs treatments is four years (range: 0.3-25). When rating their general health status, BZDs users reported 59.29 points out of 100. Thirty-two percent of patients reported mobility problems; 16.5% reported having a lot of pain or discomfort despite being treated with BZDs, and 16.54% used a BZD together with an opioid analgesic. The EuroQol 5D-3L dimension "anxiety/depression" showed that, despite the use of BZDs, 48.2% of the patients reported being moderately anxious or depressed and 13.4% described themselves as very anxious or depressed. Nevertheless, 37.8% of BZDs users were identified as potential candidates to follow a BZD deprescription plan. In conclusion, BZDs users showed a low quality of life during the COVID-19 pandemic. Older patients and females have been identified as groups of patients that could benefit from integrating the use of the EuroQol 5D-3L instrument into the protocols of the pharmaceutical care follow up.

摘要

苯二氮䓬类药物(BZDs)使用者的生活质量应受到监测,以尽量降低长期治疗相关风险。本研究的目的是使用欧洲五维健康量表(EuroQol 5D-3L)分析127例在新冠疫情期间接受BZDs治疗的患者的生活质量。结果显示,劳拉西泮占所有配药请求的25.49%,BZDs治疗的平均时长为4年(范围:0.3 - 25年)。在对总体健康状况进行评分时,BZDs使用者的评分为100分中的59.29分。32%的患者报告有行动不便问题;16.5%的患者报告尽管接受了BZDs治疗仍有很多疼痛或不适,16.54%的患者将BZDs与阿片类镇痛药联合使用。欧洲五维健康量表(EuroQol 5D-3L)的“焦虑/抑郁”维度显示,尽管使用了BZDs,48.2%的患者报告有中度焦虑或抑郁,13.4%的患者称自己非常焦虑或抑郁。然而,37.8%的BZDs使用者被确定为可能遵循BZDs减药计划的潜在对象。总之,在新冠疫情期间,BZDs使用者的生活质量较低。老年患者和女性已被确定为可从将欧洲五维健康量表(EuroQol 5D-3L)工具的使用纳入药学监护随访方案中获益的患者群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ae/9959496/e27b10c5ab4a/pharmacy-11-00019-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ae/9959496/c37e168d498a/pharmacy-11-00019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ae/9959496/e27b10c5ab4a/pharmacy-11-00019-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ae/9959496/c37e168d498a/pharmacy-11-00019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ae/9959496/e27b10c5ab4a/pharmacy-11-00019-g002.jpg

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