摘要
目的 调查上海市嘉定区真新地区高血压合并糖尿病老年患者用药安全现况及影响因素。方法 采取整群抽样的方法,调查上海市嘉定区真新地区15个社区398例60~75岁高血压合并糖尿病老年患者的用药情况。结果 患者平均年龄（67.1±4.5）岁,平均患病6种,平均用药9种,药品不良反应（ADR）发生率为32.16%。与用药安全性总分明显相关的影响因素有3个,分别是文化程度、家庭经济收入和曾从事职业;药品知识了解情况得分的影响因素有2个,分别是文化程度和曾从事职业;自我药疗情况得分的影响因素有3个,分别是文化程度、家庭经济收入和曾从事职业;药学人员服务得分的影响因素有3个,分别是有无配偶、文化程度和职业。结论 高血压合并糖尿病老年患者多重用药现象普遍,不良反应发生率高,存在用药安全隐患,深入开展社区药学服务有助于提高老年患者的用药安全性。
Objective To investigate the medication safety and relevant influence factors among the elderly patients with complication of hypertension and diabetes in Zhenxin community of Shanghai Jiading District. Methods A total of 398 elderly patients with complication of hypertension and diabetes aged 60-75 years old in 15 communities in Zhenxin were recruited into the study by using cluster sampling. Results Their mean ages were （67.14-4.5） years old, they got 6 kinds of diseases and took 9 kinds of medicine per patient. The incidence of adverse drug reactions （ADRs） was 32.16%. The main influence factors of the medication safety were educational level, family income and professions. The influence factors of their understanding of medicine knowledge were educational level and professions. The influence factors of self-medication situation were educational level, family income and professions. The influence factors of pharmaceutical service personnel were spouse, educational level and professions. Conclusion The phenomenon of multiple medications is common in the elderly patients with hypertension complicated with diabetes. The incidence rate of ADRs is high, and there is a potential risk inmedication. So it needs to develop community pharmaceutical services to improve the medication safety.
出处
《世界临床药物》
CAS
2016年第7期465-469,共5页
World Clinical Drug
基金
上海市区科委项目(编号:2014-kw-06)
关键词
社区
用药安全性
影响因素
药学服务
调查
community
medication safety
influence factor
pharmaceutical service
investigation
