CAJ | 학술논문

目的了解老年人潜在不适当用药（PIM）带来的健康风险，为有效实施老年人用药安全的风险管理与保护老年人的健康权益提供依据。方法采用分级抽样方法选择了安徽省8个代表性的城乡社区，用基于 Beers 准则设计的问卷进行实地调查。调查获得的数据用 Epidata 和 SPSS 软件进行分析。结果抽样地区的老年人群总体不适当使用药物种类较多，频率较高，排在前10名的药物不适当使用频率均高于30％。城乡地区老年人在治疗感冒、抗细菌性感染、防治高血压与冠心病等药物的不适当使用频率的差异在统计学上有意义（P ＜0．05），其中农村社区老年人群在治疗感冒药物方面的不适当使用频率比城市社区低，而其他药物的不适当使用频率明显比城市社区高。在同一社区，受教育程度与家庭收入较高的老年人用药安全风险意识往往强些，其 PIM流行率也明显低于受教育程度与家庭收入较低的老年人。结论安徽省部分地区老年人不适当的用药情况较为普遍，老年人用药安全风险意识较低。
목적료해노년인잠재불괄당용약（PIM）대래적건강풍험，위유효실시노년인용약안전적풍험관리여보호노년인적건강권익제공의거。방법채용분급추양방법선택료안휘성8개대표성적성향사구，용기우 Beers 준칙설계적문권진행실지조사。조사획득적수거용 Epidata 화 SPSS 연건진행분석。결과추양지구적노년인군총체불괄당사용약물충류교다，빈솔교고，배재전10명적약물불괄당사용빈솔균고우30％。성향지구노년인재치료감모、항세균성감염、방치고혈압여관심병등약물적불괄당사용빈솔적차이재통계학상유의의（P ＜0．05），기중농촌사구노년인군재치료감모약물방면적불괄당사용빈솔비성시사구저，이기타약물적불괄당사용빈솔명현비성시사구고。재동일사구，수교육정도여가정수입교고적노년인용약안전풍험의식왕왕강사，기 PIM류행솔야명현저우수교육정도여가정수입교저적노년인。결론안휘성부분지구노년인불괄당적용약정황교위보편，노년인용약안전풍험의식교저。
Objective To investigate the health risk of potentially inappropriate medication (PIM)for the elderly and effectively implement drug safety risk management,and provide research foundation for better protection of the health rights of the elderly.Methods The representative eight urban and rural communities in Anhui province were investigated and analyzed based on the Beers criteria.Survey data were analyzed using SPSS and Epidata soft-wares to understand the differences of elderly PIM prevalence on the distribution and influencing factors.Results The inappropriately used drugs by general elderly population had scores of types and high frequency of inappropriately using,among which the inappropriately used frequencies of top 10 drugs were more than 30%.There were statistically significant differences on the inappropriately using frequencies of drugs for cold,bacterial infection,hypertension and coronary heart disease in the elderly between rural and urban areas (P <0.05),in which the inappropriately using frequency of anti-cold medicines by the elderly in the rural community was lower than that in urban communities,but the inappropriately using of other drugs had significantly higher frequencies than in urban communities.Whilst,PIM prevalence of the elderly with strong awareness of security risk,well-educated and high household income was signifi-cantly lower than that of less-educated and low income elderly in the same community.Conclusion The risk for po-tentially inappropriately using of drug is common for the elderly in some areas of Anhui province.