护理学报 ›› 2019, Vol. 26 ›› Issue (23): 36-40.doi: 10.16460/j.issn1008-9969.2019.23.036
老年人潜在不适当用药的评估工具及应用进展
迟俊婷, 牛晓丹, 阮海慧, 陶红霞, 张静, 王艳红
- 兰州大学 护理学院,甘肃 兰州 730000
摘要： 目的 对老年人潜在不适当用药的常用评估工具进行综述,为开展相关临床研究提供依据。方法 全面检索PubMed、The Cochrane Library、Web of Science、Embase、中国生物医学文献数据库（CBM）、中国知网（CNKI）和万方数据库,收集整理建库至2019年5月发表的有关老年人潜在不适当用药评估工具的文献,对评估工具的基本信息、发展及应用现状进行综述。结果 共检索到8个常用工具,国外有Beers标准（Beers' Criteria）、老年人处方筛查工具（Screening Tool of Older Person's Prescriptions, STOPP）和提醒正确治疗的筛选工具（Screening tool to Alert to Right Treatment, START）、GheOP3S标准、澳大利亚处方指示工具（Australian Prescribing Indicator Tool, APIT）、PRISCUS标准、EU（7）PIM目录,国内有中国老年人疾病状态下潜在不适当用药的初级判断标准、中国老年人潜在不适当用药判断标准（2017版）。结论 上述评估工具中最常用的是Beers标准和老年人处方筛查工具,在地域性、关注度、覆盖面、循证证据方面都表现出良好的适用性。今后应在借鉴已有标准的基础上,进一步完善我国评估标准并推广我国老年人潜在不适当用药评估标准的使用。
中图分类号:
- R473.59
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