CAJ | 학술논문

目的调查慢性病老年人用药安全情况及其影响因素,为提高老年人用药安全性,合理用药提供依据.方法采用自行设计的调查问卷,对符合纳入、排除标准的452名慢性病非住院老年人进行问卷调查,并对调查结果进行分析.结果被调查的452人中,21.7％(98/452)的老年人服用≥7种的药物;慢性病老年人药物不良反应的发生率为38.5％(174/452);被调查的慢性病老年人中患病率居前3位的是心血管疾病、糖尿病和肺部疾病,分别为61.3％(277/452)、53.5％(242/452)和42.0％(190/452);老年人不安全服药行为有服错药、漏服药、自行停药、自行增减服药剂量、服用过期药等.Logistic回归分析显示,用药安全的主要影响因素是年龄、既往职业、文化程度、家庭人均月收入、服药时间、药品来源和是否接受过用药安全的健康教育,影响程度均具有统计学意义,P＜ 0.05.结论老年人用药安全知识相对缺乏,存在着许多错误的认识和行为,易发生药物不良反应和用药隐患,值得重视.
목적 조사만성병노년인용약안전정황급기영향인소,위제고노년인용약안전성,합리용약제공의거.방법 채용자행설계적조사문권,대부합납입、배제표준적452명만성병비주원노년인진행문권조사,병대조사결과진행분석.결과 피조사적452인중,21.7％(98/452)적노년인복용≥7충적약물;만성병노년인약물불량반응적발생솔위38.5％(174/452);피조사적만성병노년인중환병솔거전3위적시심혈관질병、당뇨병화폐부질병,분별위61.3％(277/452)、53.5％(242/452)화42.0％(190/452);노년인불안전복약행위유복착약、루복약、자행정약、자행증감복약제량、복용과기약등.Logistic회귀분석현시,용약안전적주요영향인소시년령、기왕직업、문화정도、가정인균월수입、복약시간、약품래원화시부접수과용약안전적건강교육,영향정도균구유통계학의의,P＜ 0.05.결론 노년인용약안전지식상대결핍,존재착허다착오적인식화행위,역발생약물불량반응화용약은환,치득중시.
Objective To investigate the medication safety and relevant influence factors among the elderly with chronic diseases,to improve the safety of the elderly medication,and provide the theory basis for the rational use of drugs.Methods Questionnaire survey was conducted on 452 elderly outpatients with chronic diseases using self-designed questionnaire.Results 21.7％ (98/452) of the elderly took seven or more drugs.The incidence of adverse drug reactions was 38.4％ (174/452).The prevalence in the top three were cardiovascular disease [61.3％ (277/452)],diabetes [53.5％ (242/452)],and lung disease [42.0％ (190/452)].Old people had unsafe medication behaviors including missing medication,stopping medication on their own,increased or reduced dosages of medicine and taking overdue medication,and so on.Logistic regression analysis showed that the main influence factors of medication safety were age,previous occupation,educational level,monthly household income per capita,medication time,the source of drugs and whether received medication safety health education (P＜0.05).Conclusions Relative lack of safety knowledge,wrong cognition and behaviors exist in the elderly.It is worthy of paying attention to adverse drug reactions and hidden dangers of the elderly.