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识别可能影响社区药房中老年患者的障碍:一项系统综述。

Identification of Barriers That Can Influence Older Adults in Community Pharmacies: A Systematic Review.

作者信息

Pedro Rita, Mateos-Campos Ramona, Cruz Agostinho

机构信息

Faculty of Pharmacy, University of Salamanca, Campus Miguel de Unamuno, C. Lic. Méndez Nieto, s/n, 37007 Salamanca, Spain.

REQUIMTE/LAQV, ESS, Polytechnic of Porto, rua Dr. António Bernardino de Almeida, 4249-015 Porto, Portugal.

出版信息

Healthcare (Basel). 2025 Apr 24;13(9):981. doi: 10.3390/healthcare13090981.

DOI:10.3390/healthcare13090981
PMID:40361759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071199/
Abstract

: This systematic review examines the barriers that may influence the proper care and counseling for people who are 65 years or older, in community pharmacies. Also, we attempt to identify potential strategies to mitigate these barriers. The research question addressed is "What kind of barriers influence older people in community pharmacies?". : Five electronic databases were used: Medline from Pubmed, Core collection of Web of Science, Science direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL) through EBSCO and RCAAP (Repositório Científico de Acesso Aberto de Portugal). This systematic review followed the PRISMA guidelines. The protocol was prospectively published in PROSPERO (International Prospective Register of Systematic Review) having the following identification number: ID CRD42024516422. The original articles about individuals over 65 years of age and about barriers to counseling in community pharmacies were included. The Critical Appraisal tool made by Joanna Briggs Institute was chosen. : From a total of 919 articles identified, 9 were included in this systematic review. The identified barriers were categorized into four typologies: centered on the pharmacy profession, centered on older adults, centered on the pharmacy layout and infrastructure, and centered on society. Other than this, some facilitators were identified during the research and were also categorized into the same four typologies. : The classification of the identified barriers and facilitators has significant importance as it provides essential insights for responsible bodies of community pharmacies. Comprehending these barriers and facilitators is crucial to transforming community pharmacies into a more accessible and supportive environment for older patients.

摘要

本系统评价考察了社区药房中可能影响对65岁及以上老年人进行适当护理和咨询的障碍。此外,我们试图确定减轻这些障碍的潜在策略。所解决的研究问题是“社区药房中哪些障碍会影响老年人?”

使用了五个电子数据库

来自PubMed的Medline、科学网核心合集、科学Direct、通过EBSCO的护理及相关健康文献累积索引(CINAHL)和葡萄牙开放获取科学知识库(RCAAP)。本系统评价遵循PRISMA指南。该方案已前瞻性地发表在国际系统评价前瞻性注册库PROSPERO上,识别号如下:ID CRD42024516422。纳入了关于65岁以上个体以及社区药房咨询障碍的原始文章。选择了乔安娜·布里格斯研究所制作的批判性评价工具。

在总共识别出的919篇文章中,有9篇被纳入本系统评价。识别出的障碍分为四种类型:以药学专业为中心、以老年人为中心、以药房布局和基础设施为中心以及以社会为中心。除此之外,研究过程中还识别出了一些促进因素,它们也被分为相同的四种类型。

对识别出的障碍和促进因素进行分类具有重要意义,因为它为社区药房的责任机构提供了重要见解。理解这些障碍和促进因素对于将社区药房转变为对老年患者更易进入且更具支持性的环境至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b13/12071199/f77e07b96889/healthcare-13-00981-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b13/12071199/074aed3b3390/healthcare-13-00981-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b13/12071199/f77e07b96889/healthcare-13-00981-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b13/12071199/074aed3b3390/healthcare-13-00981-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b13/12071199/f77e07b96889/healthcare-13-00981-g002.jpg

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Pharmacist Intervention in Portuguese Older Adult Care.药剂师对葡萄牙老年人护理的干预。
Healthcare (Basel). 2022 Sep 22;10(10):1833. doi: 10.3390/healthcare10101833.
3
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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Turkish community pharmacists' behavioral determinants in provision of pharmaceutical care to elderly patients.土耳其社区药剂师为老年患者提供药学服务的行为决定因素。
Int J Clin Pharm. 2021 Aug;43(4):1024-1035. doi: 10.1007/s11096-020-01211-0. Epub 2021 Jan 7.
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[Community pharmacists' and pharmacy technicians' attitudes and beliefs about depression in elderly].[社区药剂师和药房技术员对老年人抑郁症的态度和看法]
Ann Pharm Fr. 2020 Mar;78(2):167-178. doi: 10.1016/j.pharma.2019.11.001. Epub 2019 Dec 16.
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A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey.社区居住的感觉障碍/多药治疗的老年患者的药物治疗体验的定性探索。
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"We're really not ready for this": A qualitative exploration of community pharmacy personnel's perspectives on the pharmaceutical care of older people with sensory impairment.“我们真的还没准备好应对这个问题”:一项定性研究,探讨社区药剂师对有感官障碍的老年人药物治疗服务的看法。
Disabil Health J. 2019 Apr;12(2):242-248. doi: 10.1016/j.dhjo.2018.10.006. Epub 2018 Oct 26.
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