A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist
A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist
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DOI：
10.1111/hex.12534
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发表时间：
2017-10-01
影响因子：
3.2
通讯作者：
Hilton, Andrea
中科院分区：
文献类型：
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作者：
Maidment, Ian D.;Aston, Lydia;Hilton, Andrea
背景痴呆的患病率正在迅速上升。痴呆症患者可能会被开出复杂的药物治疗方案，这对他们和任何参与安全管理的护理人员来说都是一个挑战。目的描述和了解痴呆症患者及其居住在社区的非正式护理人员所经历的与药物治疗问题有关的关键挑战，以及社区药剂师的潜在作用。非正式的照顾者和健康和社会护理专业人员（HSCP）。ResultsThirteents1参与者（11个非正式的照顾者，4人与痴呆症和16 HSCP）进行了采访。确定了三个关键主题：关键挑战、改善药物管理和药剂师的作用。护理角色通常包括药物管理的责任，这既造成了实际问题，也造成了情感负担。如果痴呆症患者在获得支持方面遇到任何困难，并且正在接受复杂的治疗方案，这种负担就会加重。与会者认为，这一进程可以通过保健方案的协调和持续支助加以改进，这种支助应侧重于非正式照料者。药物审查，特别是当在家庭环境中进行，可能是helpful.ConclusionMedication管理的人与痴呆症生活在社区是一个复杂的过程，和非正式的照顾者有一个关键的作用，他们经常发现具有挑战性。社区药剂师可以在这一领域发挥更大的作用，但需要在药房以外的多学科环境中工作。
BackgroundThe prevalence of dementia is increasing rapidly. People with dementia may be prescribed complex medication regimens, which may be challenging for them and any carers involved to safely manage.ObjectiveTo describe and understand the key challenges, in relation to medication issues, experienced by people with dementia and their informal carers dwelling in the community and the potential role of community pharmacists.DesignQualitative semi-structured interviews.ParticipantsPeople with dementia, informal carers and health and social care professionals (HSCPs).ResultsThirty-one participants (eleven informal carers, four people with dementia and sixteen HSCPs) were interviewed. Three key themes were identified: the key challenges, improving medication management and the role of pharmacists. The caring role commonly included responsibility for medication management which created both practical problems and an emotional burden. This burden was worsened by any difficulty in obtaining support and if the person with dementia was on a complex regimen. Participants believed that the process could be improved by coordinated and on-going support from HSCPs, which should focus on the informal carer. Medication reviews, particularly when conducted in the home environment, could be helpful.ConclusionMedication management for people with dementia living in the community is a complex process, and informal carers have a key role, which they frequently find challenging. Community pharmacists could have an enhanced role in this area, but would need to work within a more multidisciplinary environment outside the pharmacy.