CAJ | 학술논문

目的：了解社区老年人盲目使用药物和保健品的现状，探讨其盲目用药和保健品的原因，为用药指导和健康干预提供现实依据。方法研究者于2013年7月初前往吉林省某城市和乡村社区，便利抽取318名老年人，其中农村老年人151名，城市老年人167名。应用自行设计问卷调查老年人药物和保健品的使用情况及自行用药情况等，并对老年人进行访谈，了解他们自行用药的动机。结果73.9％（235人）的老年人中有盲目用药行为，46.9％（149人）有盲目使用保健品行为，其中文化程度、月收入情况是老年人自行用药的影响因素（ P＜0.05）；农村老年人用药和保健品的依从性低于城市老年人；不正确的用药心理是导致老年人盲目用药的重要原因。结论老年人存在自行用药及保健品现象，农村老年人使用药物和保健品的行为及医嘱依从性较城市老年人差，安全用药知识相对缺乏，存在许多用药隐患，值得高度重视。
목적：료해사구노년인맹목사용약물화보건품적현상，탐토기맹목용약화보건품적원인，위용약지도화건강간예제공현실의거。방법연구자우2013년7월초전왕길림성모성시화향촌사구，편리추취318명노년인，기중농촌노년인151명，성시노년인167명。응용자행설계문권조사노년인약물화보건품적사용정황급자행용약정황등，병대노년인진행방담，료해타문자행용약적동궤。결과73.9％（235인）적노년인중유맹목용약행위，46.9％（149인）유맹목사용보건품행위，기중문화정도、월수입정황시노년인자행용약적영향인소（ P＜0.05）；농촌노년인용약화보건품적의종성저우성시노년인；불정학적용약심리시도치노년인맹목용약적중요원인。결론노년인존재자행용약급보건품현상，농촌노년인사용약물화보건품적행위급의촉의종성교성시노년인차，안전용약지식상대결핍，존재허다용약은환，치득고도중시。
Objective To understand the present situation of blind use of medicines and health products of the commu-nity elderly and examine the corresponding reasons,aiming to provide the reality basis for medication guide and health interven-tion. Methods The researchers surveyed some communities in a city and its attached rural areas of Jilin province in July,2013 and selected 318 elderly including 151 rural and 167 urban by convenience sampling,who were investigated about their use of medicines and health products as well as their self-medication by self-designed questionnaire and were interviewed about their incentive of self-medication. Results 73. 9%(235)had the behavior of blind use of medicine and 46. 9%(149)had the be-havior of blind use of health products. Cultural level and monthly income were the significant influencing factors(P<0. 05). The compliance of medical and health products of rural elderly was lower than that of urban elderly. In addition,incorrect medication psychology was the most important reason of the elderly's blind medication. Conclusion The phenomenon of blind use of medi-cine and health products exists among the elderly,compared with the urban elderly,the rural elderly have poorer compliance of the use of medicine and health products and medical order,less knowledge of drug-use safety. In a word,there are many hidden dangers of drug medication,which need our highly attention.