藥事照護提升長期照護生活品質指標

The Use of Pharmaceutical Care to Improve Quality of Life Indicators in Long-Term Care

藥物處方是長期照護非常普遍的治療方式。長期照護如老人、失能或失智者，需要考量適當照護指標，包括復能照護、營養照護、進食與吞嚥照護、心理健康照護、長期臥床照護、環境安全照護等。根據Beers、STOPP/START、PIM-Taiwan、PRISCUS、EU(7)-PIM、NORGEP-NH、FORTA以及其他指引，藥師以個案為中心進行藥物治療處方評估，確保藥物治療的適宜性和有效性。本文可作為潛在不適當處方的審核工具，用以優化藥物處方同時評估並提升長期照護生活品質指標。

Medical prescription is a very common intervention for long-term care. Long-term care for the aged, disabled or dementia, consideration needs to be given to appropriate and relevant outcome measures including rehabilitation, nutrition care, feeding and dysphagia care, mental health care, long-term bedridden patient care, and environmental security care. On the basis of the criteria provided by Beers, STOPP/START, PIM-Taiwan, PRISCUS, EU (7)-PIM list, NORGEP-NH, FORTA and other guidelines, pharmacists conduct drug regimen reviews for each long-term care resident to assess the appropriateness and the efficacy of drug therapies. This paper can be applied as a screening tool to identify potentially inappropriate medications in pharmacotherapy optimization and assessing and improving the quality of life indicators in long-term care.