用药指导对老年患者多重用药结果的影响探讨  

Discussion on the influence of medication guidance on the results of multiple medications in the elderly

作　　者：徐大良 XU Da-liang(Department of Pharmacy,Beijing Changping District Hospital,Beijing 102200,China)

机构地区：[1]北京市昌平区医院药剂科临床药学室,102200

出　　处：《中国实用医药》2024年第12期156-159,共4页China Practical Medicine

摘　　要：目的探究用药指导对老年患者多重用药结果的影响。方法选择70例多重用药的老年患者作为研究对象,基于随机数字表法分为对照组与观察组,每组35例。对照组基于日常用药安排服用药物,观察组基于科学用药指导服用药物。比较两组患者指导前后用药依从性评分、用药潜在危害程度、药物认知程度、用药问题发生情况。结果两组指导后用药依从性评分均较指导前升高,观察组指导后用药依从性评分(6.58±1.14)分明显高于对照组的(5.01±1.02)分(P<0.05)。观察组患者用药潜在的危害程度明显低于对照组(P<0.05);特别是观察组0~Ⅰ级占比(94.29%)明显高于对照组(74.29%)(P<0.05)。观察组患者对药物疗效、服用剂量、服用方式及相关注意事项的认知占比分别为91.43%、85.71%、80.00%、60.00%,明显高于对照组的68.57%、62.86%、57.14%、34.29%(P<0.05)。观察组患者服用剂量过多、服用剂量过少、服用疗程过短、服用疗程过长的发生率分别为14.29%、11.43%、17.14%、20.00%,明显低于对照组的37.14%、31.43%、40.00%、42.86%(P<0.05)。结论在科学用药指导之下,老年多重用药患者的用药依从性、对药物的认知程度显著提高,相关用药问题发生率显著下降,对于提高老年多重用药患者的安全性具有重要的价值,值得推广。Objective To explore the influence of medication guidance on the results of multiple medications in the elderly.Methods 70 elderly patients who received multiple medications were selected as the research subjects,and were divided into a control group and an observation group based on a random number table method,each with 35 cases.The control group took medication based on daily medication arrangements,while the observation group provided medication guidance based on scientific medication guidance.The medication compliance score before and after guidance,potential harm level,medication awareness level,and medication outcomes of the two groups of patients were compared.Results After guidance,the medication compliance score in both groups was higher than that before treatment;the observation group had significantly higher medication compliance score of(6.58±1.14)points than(5.01±1.02)points in the control group(P<0.05).The potential harm of medication in the observation group was significantly lower than that in the control group(P<0.05).In particular,the percentage of grade 0-Ⅰin the observation group(94.29%)was significantly higher than that in the control group(74.29%)(P<0.05).The percentage of understanding of drug efficacy,dosage,mode of administration,and related precautions were 91.43%,85.71%,80.00%and 60.00%in the observation group,which were significantly higher than 68.57%,62.86%,57.14%,and 34.29%in the control group(P<0.05).The incidence rates of excessive(low)dosage and short(long)course of treatment in observation group were 14.29%,11.43%,17.14%and 20.00%,which were significantly lower than 37.14%,31.43%,40.00%and 42.86%in the control group(P<0.05).Conclusion Under the guidance of scientific medication,the medication compliance and awareness in elderly patients with multiple medication have been significantly improved,,while the incidence of related medication problems decreased significantly.This has important value for improving the safety of multiple medication in the elderly and is worth promot

关 键 词：老年 多重用药 用药指导 效果 影响 

分 类 号：R969.3[医药卫生—药理学]