10
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Intervenciones desde la farmacia comunitaria en los pacientes adultos que reciben atención de la salud a domicilio: revisión exploratoria Translated title: Community pharmacy interventions in adult patients receiving home health care: an exploratory review

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Objetivos: Revisar la literatura científica relacionada con las intervenciones desde la farmacia comunitaria en los pacientes adultos que recibieron atención de la salud a domicilio. Métodos: Revisión exploratoria de los artículos recuperados de las bases de datos bibliográficas MEDLINE (PubMed), Embase, Cochrane Library, Scopus y Web of Science hasta marzo de 2020. La ecuación de búsqueda se formuló́ mediante los descriptores "Home Care Services" y "Pharmacies" o "Community Pharmacy Services", utilizando también los Entry Terms relacionados y los filtros: «Humans» y «Adult: 19+ years». La calidad de los artículos se evaluó́ mediante el cuestionario STROBE. Resultados: De las 307 referencias recuperadas, tras aplicar los criterios de inclusión y exclusión, se seleccionaron 44 artículos: 11 estudios descriptivos transversales y 10 ensayos aleatorizados controlados. En 19 (43%) de estos se observó que las intervenciones realizadas desde la farmacia comunitaria aumentaron la adherencia fármaco-terapéutica. También, un mejor conocimiento sobre los medicamentos (administración, seguridad, dosis, posología) en 17 (38,6%) trabajos y en 13 (29,5%) estudios se consiguió la prevención o resolución de los PRM. Al evaluar la calidad de los artículos seleccionados para la revisión mediante el cuestionario STROBE, las puntuaciones oscilaron entre un mínimo de 11 y un máximo de 20,8 sobre una puntuación máxima de 22. Conclusiones: La intervención farmacéutica, a través de la farmacia comunitaria, aportó beneficios en la población más adulta, mediante el aumento de la adherencia farmacoterapéutica, la disminución de los problemas relacionados con los medicamentos y la mejora en el almacenamiento y conservación de los mismos.

          Translated abstract

          Abstract Objective: To review the scientific literature related to interventions from the community pharmacy in adult patients who received home health care. Method: Exploratory review of the articles retrieved from the bibliographic databases MEDLINE (PubMed), Embase, Cochrane Library, Scopus and Web of Science until March 2020. The search equation was formulated using the descriptors "Home Care Services" and "Pharmacies" or "Community Pharmacy Services", also using the related Entry Terms and filters: "Humans" and "Adult: 19+ years". The quality of the articles was evaluated using the STROBE questionnaire. Results: From the 307 references retrieved, after applying the inclusion and exclusion criteria, 44 articles were selected: 11 cross-sectional descriptive studies and 10 randomized controlled trials. In 19 (43%) of these, it was observed that the interventions carried out by the community pharmacy increased drug-therapeutic adherence. Also, a better knowledge of medications (administration, safety, dosage, dosage) in 17 (38.6%) studies and in 13 (29.5%) studies, the prevention or resolution of DRM was achieved. Once the articles were evaluated by means of the STROBE questionnaire for this review the scores ranged from a minimum of 11 to a maximum of 20.8 out of a maximum score of 22. Conclusions: Pharmaceutical intervention, through community pharmacy, brought benefits in the older adult population, by increasing pharmacotherapeutic adherence, reducing drug-related problems, and challenges in preserving and storing medications.

          Related collections

          Most cited references76

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Medication-related burden and patients’ lived experience with medicine: a systematic review and metasynthesis of qualitative studies

          Objective To explore medication-related burden (MRB) and patients’ lived experience with medicines (PLEM) without regard to particular medication therapies or medical conditions. Design Systematic review and metasynthesis of qualitative studies. Data sources MEDLINE, EMBASE, International Pharmaceutical Abstracts, PsycINFO, Global health, CINAHL and Web of Science were searched from January 2000 to August 2014 using medication burden and patients’ lived experience terms. Synthesis methods Synthesis was undertaken following metaethnography methods and a comparative thematic analysis technique. Results 34 articles from 12 countries with a total of 1144 participants were included. 3 major inter-related themes emerged central to PLEM: MRB, medication related beliefs and medication taking practice. The negative impact of MRB, due to its interference on patients’ daily lives and effects on well-being, its influence on patients’ beliefs and behaviours, and a potential risk for drug-related problems (DRPs) was evident. This resulted in non-adherence and poorer outcomes (unachieved therapeutic goals and damage to patients’ health). Patients who experienced MRB interference in their life over time begin to juggle their medicines. Others continue their medicines despite experiencing MRB resulting in compromised physical, social or psychological well-being. Conclusions There is a shared commonality of PLEM among the studies. MRB plays a central role in influencing patients’ health and well-being, beliefs and behaviour towards medicines. Given the complexity of MRB and its impact evident from this review, there is a need for healthcare practitioners to have insight into PLEM in therapeutic care plans. Understanding PLEM is an opportunity for practitioners to identify particular MRBs that patients encounter, and provide individualised care through selection of therapeutic care plans that suit a patient's life. This may assist in helping to achieve patients’ medication-related needs, and improve medication therapy and health outcomes.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Declaración de la Iniciativa STROBE (Strengthening the Reporting of Observational studies in Epidemiology): directrices para la comunicación de estudios observacionales

            Gran parte de la investigación biomédica es de tipo observacional, pero la información difundida sobre esas investigaciones es a menudo insuficiente, lo que dificulta la evaluación de sus puntos fuertes y débiles para la generalización de sus conclusiones. En el marco de la iniciativa STROBE (Strengthening the Reporting of Observational Studies in Epidemiology), se formularon recomendaciones sobre lo que debería contener una notificación precisa de un estudio observacional. Decidimos limitar el alcance de las recomendaciones a tres grandes modalidades de estudio: de cohortes, de casos y controles, y transversales. En septiembre de 2004 organizamos un taller de 2 días con metodólogos, investigadores y editores de revistas para elaborar una lista de verificación de distintos puntos. Esta lista fue revisada posteriormente en varias reuniones del grupo de coordinación y en discusiones mantenidas por correo electrónico con los principales participantes en STROBE, teniendo en cuenta la evidencia empírica y diversas consideraciones metodológicas. El taller y el posterior proceso iterativo de consulta y revisión desembocaron en una lista de verificación de 22 puntos (la declaración STROBE) que guardan relación con el título, el resumen, la introducción y las secciones de métodos, resultados y discusión de los artículos. Dieciocho puntos son comunes a las 3 modalidades de estudio, y 4 se refieren específicamente a los estudios de cohortes, de casos y controles o transversales. Se ha publicado separadamente un documento de explicación y elaboración al que puede accederse libremente en los sitios web de PLoS Medicine, Annals of Internal Medicine y Epidemiology. Esperamos que la declaración STROBE contribuya a mejorar la calidad de la publicación de los estudios observacionales.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Does home based medication review keep older people out of hospital? The HOMER randomised controlled trial.

              To determine whether home based medication review by pharmacists affects hospital readmission rates among older people. Randomised controlled trial. Home based medication review after discharge from acute or community hospitals in Norfolk and Suffolk. 872 patients aged over 80 recruited during an emergency admission (any cause) if returning to own home or warden controlled accommodation and taking two or more drugs daily on discharge. Two home visits by a pharmacist within two weeks and eight weeks of discharge to educate patients and carers about their drugs, remove out of date drugs, inform general practitioners of drug reactions or interactions, and inform the local pharmacist if a compliance aid is needed. Control arm received usual care. Total emergency readmissions to hospital at six months. Secondary outcomes included death and quality of life measured with the EQ-5D. By six months 178 readmissions had occurred in the control group and 234 in the intervention group (rate ratio = 1.30, 95% confidence interval 1.07 to 1.58; P = 0.009, Poisson model). 49 deaths occurred in the intervention group compared with 63 in the control group (hazard ratio = 0.75, 0.52 to 1.10; P = 0.14). EQ-5D scores decreased (worsened) by a mean of 0.14 in the control group and 0.13 in the intervention group (difference = 0.01, -0.05 to 0.06; P = 0.84, t test). The intervention was associated with a significantly higher rate of hospital admissions and did not significantly improve quality of life or reduce deaths. Further research is needed to explain this counterintuitive finding and to identify more effective methods of medication review.
                Bookmark

                Author and article information

                Journal
                had
                Hospital a Domicilio
                Hosp. domic.
                Centro Internacional Virtual de Investigación en Nutrición (CIVIN) (Alicante, Alicante, Spain )
                2530-5115
                December 2020
                : 4
                : 4
                : 209-227
                Affiliations
                [1] Alicante España orgnameUniversidad Miguel Hernández orgdiv1Facultad de Farmacia Spain
                [4] Alicante Valencia orgnameUniversidad Miguel Hernández de Elche orgdiv1Departamento de Ingeniería, Área de Farmacia y Tecnología Farmacéutica Spain
                [2] Madrid orgnameInstituto de Salud Carlos III orgdiv1Escuela Nacional de Medicina del Trabajo España
                [3] Alicante Valencia orgnameUniversidad Miguel Hernández de Elche orgdiv1Departamento de Salud Pública e Historia de la Ciencia Spain
                Article
                S2530-51152020000400005 S2530-5115(20)00400400005
                10.22585/hospdomic.v4i4.113
                8a737484-5986-4593-9902-630797676116

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 18 August 2020
                : 20 July 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 76, Pages: 19
                Product

                SciELO Spain

                Categories
                Artículos de revisión

                Aged,Treatment Adherence and Compliance,Servicios de Atención de Salud a Domicilio,Polypharmacy,Educación del Paciente como Asunto,Farmacias,Patient Education as Topic,Community Pharmacy Services,Servicios Comunitarios de Farmacia,Medication Errors,Cumplimiento y Adherencia al Tratamiento,Errores de Medicación,Polifarmacia,Pharmacies,Ancianos,Satisfacción del Paciente,Patient Satisfaction,Home Care Services

                Comments

                Comment on this article