บทบาทพยาบาลเวชปฏิบัติชุมชนในการใช้ยาสมเหตุผลสำหรับผู้สูงอายุที่ป่วยด้วยโรคเรื้อรัง: ประยุกต์ใช้ต้นแบบการดูแลผู้ป่วยโรคเรื้อรัง
Year: 2025
Type: article
Abstract: Older persons have physiological changes that reduce the effectiveness of many body systems, increasing their vulnerability to chronic illnesses. These disorders frequently need the administration of many drugs simultaneously. Such age-related physiological changes influence both the pharmacokinetics and pharmacodynamics of medications, increasing the likelihood of medication-related issues, particularly in community settings where adequate pharmaceutical support services are missing. Community nurse practitioners play a vital role in promoting rational drug use and successfully preventing and treating medication-related issues through patient and family education, evaluation, and monitoring. The Chronic Care Model (CCM) is a well-known framework for managing chronic illnesses efficiently. It prioritizes patient involvement, health promotion, risk factor reduction, and continuous management through team-based treatment in which the patient plays an active role. This paradigm promotes high-quality treatment outcomes and is particularly well-suited to managing medication usage in older persons with chronic diseases who live in the community. This article aims to 1) describe the physiological changes associated with aging and their impact on drug use -related problems in older adults with chronic diseases, and 2) propose a community-based medication management approach by applying the six core componants of the CCM framework, which are: health system, self-management support, delivery system design, decision support, clinical information systems, and community resources and policies within the scope of community nurse practitioners to enhance rational drug use in elderly patients with chronic illnesses.
Authors: Churyen, Achariya, Choopun, Kesaraporn
Language: Thai
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219945016