539例老年住院患者不合理用药原因分析  

Analysis of Irrational Drug Use in 539 Elderly Inpatients

作　　者：李月阳[1] 张四喜[1] 黄彧[1] 宋燕青[1] 

机构地区：[1]吉林大学第一医院药学部,长春130021

出　　处：《药学与临床研究》2017年第3期261-264,共4页Pharmaceutical and Clinical Research

摘　　要：为研究老年住院患者用药现状及不合理用药原因,在2015年5月~2016年12月期间,药师对我院1325例老年住院患者指导用药,将此过程中发现的不合理用药案例进行回顾性分析。研究发现,1325例患者中有539例(40.68%)患者存在不合理用药情况,共涉及978种次用药问题,其中涉及患者不合理用药高达713种次(72.90%),医生不合理用药150种次(15.34%),护士不合理用药115种次(11.76%)。经药师干预后,不合理用药种次比例下降了90.70%。国内不合理用药相关研究多数为医嘱回顾分析,对住院患者合理性用药的研究较少。而本研究中药师在审核医嘱同时也指导患者用药,作为药物使用终端的患者不合理用药占比最多,这一结果不能孤立地认为是某一方的原因,防止不合理用药,保证患者用药安全需要医生、药师、护士、患者四方共同努力来实现。This article is to analyze the irrational drug use and status quo of elderly hospitalized patients. Through providing medication guidance by pharmacists, a retrospective analysis of irrational drug use was conducted on 1325 cases of elderly hospitalized patients from May 2015 to December 2016. The study found, among the 1325 patients, 539 cases （40.68%） of irrational drug use. Among the 978 times of medication irrational use, patients caused as much as 713 times （72.90%）, doctors caused 150 times （15.34%） and nurses caused 115 times （11.76%）. After the intervention by pharmacists, the proportion of irrational drug use decreased by 90.70%. Most irrational drug use-related studies in China were retrospective analysis, and rarely done on hospitalized patients. In this study, pharmacists not only examined medical orders, but also guided patients＇ medication. As the endpoint of drug use, patients accounted for most of the irrational drug use, but this cannot be isolated as the sole reason. To prevent irrational drug use and ensure patients＇＇ safety, quartet joint efforts from doctors, pharmacists, nurses and patients are needed.

关 键 词：不合理用药 用药安全 老年患者 临床药师 

分 类 号：R969.3[医药卫生—药理学]