基于《中国老年人潜在不适当用药判断标准(2017版)》的老年患者不适当用药评价研究  

Research on potentially inappropriate medication use in elderly patients:based on the clinical use of Criteria of potentially inappropriate medications for older adults in China(2017)

作　　者：刘夏 潘琴 徐迅科 李升华 杨秋娅 朱莹 LIU Xia;PAN Qin;XU Xunke;LI Shenghua;YANG Qiuya;ZHU Ying(Department of Pharmacy,Shanghai Shen Garden Rehabilitation Hospital,Shanghai 201619,China;Department of Internal Medicine,Shanghai Shen Garden Rehabilitation Hospital,Shanghai 201619,China)

机构地区：[1]上海申园康复医院药剂科,上海201619 [2]上海申园康复医院内科,上海201619

出　　处：《药学实践杂志》2019年第3期283-288,共6页Journal of Pharmaceutical Practice

基　　金：上海医院药学科研基金项目(2018-YY-08)

摘　　要：目的通过分析养老机构老年多重用药患者潜在不适当用药的现状,为临床药师推进老年患者的合理用药提供参考依据。方法随机抽取上海某养老机构老年多重用药患者258例,以《中国老年人潜在不适当用药判断标准(2017版)》为评价依据进行分析,总结检出的潜在不适当用药(PIM)情况。结果研究对象的平均年龄为(82.57±5.56)岁,平均服药种数(6.98±1.96)种,共检出160名(62.0%)患者存在PIM。其中,与药物有关的潜在不适当用药206项,与疾病状态有关的潜在不适当用药91项。结论养老机构老年多重用药患者潜在不适当用药情况突出,临床药师依托多学科评估团队介入药物治疗,对发现和消除PIM及优化用药方案起到重要作用。Objective To provide reference for clinical pharmacists to promote rational medication use in elderly patients by analyzing the current situation of elderly patients with multiple medication use in nursing institution.Methods A total of 258 elderly patients with multiple medication use were randomly selected from a nursing institution in Shanghai.Based on Criteria of potentially inappropriate medications for older adults in China,the situation of potential inappropriate medication use(PIM) were analyzed and summarized.Results The average age of subjects was(82.57±5.56) years old,and the average number of medication use was(6.98±1.96).A total of 160(62.0%) patients were detected with PIM.Among them,206 were potential inappropriate medications related to medications and 91 were potential inappropriate medications related to disease status.Conclusion Potential inappropriate use of medication was serious in elderly patients with multiple medication use in nursing institution.Clinical pharmacists should rely on multidisciplinary evaluation teams to intervene in medication treatment,which would play an important role in discover and eliminate PIM as well as optimize of medication use.

关 键 词：潜在不适当用药目录 养老机构 多重用药 

分 类 号：R95[医药卫生—药学]