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Journal of Prescribing Practice最新文献

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Prescribing in patients with diabetes 糖尿病患者的处方
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.102
Deborah Robertson
Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Should you wish to look at any of the papers in more detail, a full reference is provided
德博拉-罗伯逊(Deborah Robertson)概述了近期发表的非处方医生可能感兴趣的文章。如果您想更详细地阅读其中的任何一篇文章,我们将为您提供完整的参考文献。
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引用次数: 0
Tinzaparin treatment dose in adults 成人替扎肝治疗剂量
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.96
J. Davies
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引用次数: 0
TIRZEPATIDE 替西帕替
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.94
Sharon Rees
In this column, Sharon Rees aims to refresh knowledge and interest in some of the commonly used drugs in a series of posts on X. This month she is talking about #tirzepatide
在本专栏中,莎伦-里斯(Sharon Rees)希望通过一系列关于 X 的文章,让读者重新认识和了解一些常用药物。
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引用次数: 0
Use of genomic medicine to uncover adverse effects related to direct oral anticoagulants 利用基因组医学发现与直接口服抗凝剂有关的不良反应
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.98
Aysha Mendes
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引用次数: 0
Prescribing medications for Parkinson's disease 开具治疗帕金森病的药物处方
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.124
Gina Robinson
Around 10 million people worldwide have Parkinson's disease and in the UK the estimated figure is 153000. The condition is characterised by motor symptoms including tremors, stiffness, slowness, balance problems and/or gait disorders, but sufferers can develop a wide range of associated psychological and physical problems. Treatment includes a combination of pharmacological and supportive physical therapies, supplied by a multidisciplinary team. As the condition progresses, medication regimens expand to include a combination of drug therapies. For those who do not benefit from pharmacological therapy deep brain stimulation surgery can be considered. Some people find that alternative therapies such as homeopathy, music and massage are useful additions to standard medical treatments. This article will give an overview of Parkinson's disease, including symptoms and diagnosis, and explore issues for consideration when prescribing common first-line Parkinson's medications.
全世界约有 1,000 万人患有帕金森病,在英国估计有 153,000 人。帕金森病以运动症状为特征,包括震颤、僵硬、迟钝、平衡问题和/或步态障碍,但患者也可能出现一系列相关的心理和生理问题。治疗包括由多学科团队提供的药物和支持性物理疗法的组合。随着病情的发展,药物治疗方案会扩大到包括多种药物疗法。对于那些无法从药物治疗中获益的患者,可以考虑进行深部脑刺激手术。有些人发现,顺势疗法、音乐和按摩等替代疗法是标准药物疗法的有益补充。本文将概述帕金森病,包括症状和诊断,并探讨在开具帕金森病常用一线药物处方时需要考虑的问题。
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引用次数: 0
Advancing inhaled therapy for chronic obstructive pulmonary disease: integrating clinical, economic and environmental considerations 推进慢性阻塞性肺病的吸入疗法:综合考虑临床、经济和环境因素
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.110
B. Bostock
Chronic obstructive pulmonary disease (COPD) has a significant impact on patients and the wider health systems. COPD should be managed holistically, and pharmacological treatment with inhaled bronchodilators (singly, in combination or with inhaled corticosteroids) should be matched to patient need. Choice of inhaler type and specific device should be based on patient need and preference, as well as economic and environmental concerns.
慢性阻塞性肺病(COPD)对患者和整个医疗系统都有重大影响。慢性阻塞性肺病应得到全面管理,吸入性支气管扩张剂(单独使用、联合使用或与吸入性皮质类固醇一起使用)的药物治疗应与患者的需求相匹配。吸入器类型和具体装置的选择应基于患者的需求和偏好,以及经济和环境方面的考虑。
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引用次数: 0
Evaluation of factors influencing antibiotic prescribing behaviour by independent nurse prescribers 评估影响独立开处方护士开抗生素处方行为的因素
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.104
Alyson Green
Antibiotic resistance is an urgent, accelerating global health threat due to inadequate infection prevention and control practices, and sub-optimal prescribing of antibiotics. Health professionals are required to practise antimicrobial stewardship to reduce incidence of antibiotic resistance, and this includes optimal prescribing behaviours. This study aimed to establish factors influencing medical prescribers' and independent nurse prescribers' antibiotic prescribing decisions, and compare the responses between practice settings. Independent nurse prescribers were invited to complete an online questionnaire with 17 antibiotic prescribing statements. Respondents rated their responses on a five-point Likert-type scale ranging from totally disagree to totally agree. A total of 115 questionnaires were completed and analysed. The results showed independent nurse prescribers' antibiotic prescribing decisions may be influenced by patient expectations, diagnostic uncertainty, challenges related to patient follow-up, time pressures and remote consultations. Unlike medical prescribers, they do not report pressure to prescribe antibiotics to maintain a good relationship with the patient. Antibiotic prescribing decisions are influenced by a wide range of factors outside of clinical indication and further research is required to explore these in detail. Independent nurse prescribers require education and training tailored to their specific needs and practice settings.
抗生素耐药性是一个紧迫的、加速发展的全球健康威胁,其原因在于感染预防和控制措施不当,以及抗生素处方未达到最佳水平。为减少抗生素耐药性的发生,卫生专业人员必须践行抗菌药物管理,其中包括优化处方行为。本研究旨在确定影响医疗处方者和独立护士处方者抗生素处方决定的因素,并比较不同实践环境下的反应。独立护士处方者受邀完成了一份包含 17 项抗生素处方声明的在线调查问卷。受访者按照五点李克特量表对其回答进行评分,从完全不同意到完全同意不等。共完成 115 份问卷并进行了分析。结果显示,独立护士处方者的抗生素处方决定可能会受到患者期望、诊断不确定性、与患者随访相关的挑战、时间压力和远程会诊的影响。与医疗处方者不同的是,她们并没有报告为与患者保持良好关系而开具抗生素处方的压力。抗生素处方决定受到临床指征以外的多种因素的影响,需要进一步的研究来详细探讨这些因素。独立护士处方者需要针对其具体需求和实践环境进行教育和培训。
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引用次数: 0
UPDATES 更新
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.100
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引用次数: 0
Tinzaparin treatment dose in adults: answers 成人使用替扎肝素治疗的剂量:答案
Pub Date : 2024-03-02 DOI: 10.12968/jprp.2024.6.3.101
J. Davies
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引用次数: 0
New treatment hopes for Alzheimer's disease: A look at recent drug trials 阿尔茨海默病的新治疗希望:近期药物试验综述
Pub Date : 2024-02-02 DOI: 10.12968/jprp.2024.6.2.56
Aysha Mendes
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引用次数: 0
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Journal of Prescribing Practice
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