Tools to evaluate medication management for caregivers of people living with dementia: A systematic review.
Tools to evaluate medication management for caregivers of people living with dementia: A systematic review.
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DOI：
10.1111/hex.13318
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Gnjidic D
中科院分区：
文献类型：
--
作者：
Gench M;Sawan MJ;Langford A;Gnjidic D
护理人员经常在没有经过正式培训的情况下为痴呆症患者进行药物管理。有必要评估痴呆症患者的护理人员药物管理实践，以确定和解决导致护理人员负担的关键问题。本研究的目的是确定和总结的方法，评估药物管理的照顾者与痴呆症患者的生活和评价照顾者的参与方面的药物管理。在五个数据库中进行了系统检索：Medline、Embase、PsycINFO、Scopus和International Pharmaceutical Abstracts。包含评估PWD护理人员药物管理方面的工具和调查的英文研究也包括在内。共纳入10项研究。在6项研究中评估了药物选择，在7项研究中收集了供应和监测/审查，在9项研究中评估了给药。护理人员通常参与药物变更的决策（77.1%-86.8%）以及药物的订购（55.9%-86.0%）和收集（87.0%-92.4%）。报告的护理人员参与给药的情况显示，研究之间的范围很广（44%-94.7%）。给药方面的挑战通常与多种药物和给药方案的复杂性有关。目前的工具捕获药物管理的具体方面，药物管理是药物管理中最受评价的方面。未来的研究需要开发一种工具来全面评估痴呆症患者护理人员药物管理的复杂性，以尽量减少护理过渡期间的不良事件。从作者以前的研究中，护理人员强调了解决痴呆症患者药物管理中的关键问题的必要性。
Caregivers often undertake medication management for people living with dementia without formal training. There is a need to evaluate caregiver medication management practices for people living with dementia to identify and address the key issues that contribute to caregiver burden. This study aimed to identify and summarize approaches that evaluate medication management for caregivers of people living with dementia and appraise caregiver's involvement in aspects of medication management. A systematic search was undertaken in five databases: Medline, Embase, PsycINFO, Scopus and International Pharmaceutical Abstracts. Studies written in English that contained tools and surveys that evaluated aspects of medication management for caregivers of PWD were included. A total of 10 studies were included. Medication selection was assessed in six studies, supply and monitoring/review was captured in seven studies, with administration assessed in nine studies. Caregivers were commonly involved in decision‐making for medication changes (77.1%–86.8%) and in the ordering (55.9%–86.0%) and collection (87.0%–92.4%) of medications. Reported caregiver involvement in medication administration showed a wide range (44%–94.7%) between the studies. Challenges in administration were commonly related to polypharmacy and dosage regimen complexity. Current tools capture specific aspects of medication management, with medication administration the most evaluated aspect of medication management. Future research is needed to develop a tool to holistically evaluate the complexities of medication management for caregivers of people living with dementia to minimize adverse events at transitions of care. From the authors' previous research, caregivers highlighted the need to address key issues in medication management for people living with dementia.
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影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
DOI：
10.1177/1471301215618570
发表时间：
2017-08-01
影响因子：
2.4
作者：
George, Nika R.;Steffen, Ann M.
通讯作者：
Steffen, Ann M.
DOI：
10.1177/1471301213488900
发表时间：
2015-01-01
影响因子：
2.4
作者：
Gillespie, Robyn J.;Harrison, Lindsey;Mullan, Judy
通讯作者：
Mullan, Judy
影响因子：
3.2
作者：
Maidment, Ian D.;Aston, Lydia;Hilton, Andrea
通讯作者：
Hilton, Andrea
影响因子：
6.3
作者：
Kanaan AO;Donovan JL;Duchin NP;Field TS;Tjia J;Cutrona SL;Gagne SJ;Garber L;Preusse P;Harrold LR;Gurwitz JH
通讯作者：
Gurwitz JH