山东省城镇老年患者居家用药安全现状调研及影响因素分析  

Influencing factors of home medication safety for urban elders in Shandong Province

作　　者：崔学艳[1] 许静雅 武明芬 黄欣[1] 赵志刚[2] CUI Xueyan;XU Jingya;WU Mingfen;HUANG Xin;ZHAO Zhigang(Department of Clinical Pharmacy,First Affiliated Hospital,Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong Jinan 250014,China;Department of Pharmacy,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]山东第一医科大学第一附属医院/山东省千佛山医院临床药学,山东济南250014 [2]首都医科大学附属北京天坛医院药学部,北京100070

出　　处：《中国医院药学杂志》2024年第21期2529-2534,共6页Chinese Journal of Hospital Pharmacy

基　　金：中国药品监督管理研究会立项课题(编号:2023-018)。

摘　　要：目的:了解山东省城镇老年患者居家用药安全现状及其影响因素,为药师深入开展居家药学服务提供参考。方法:药师上门提供居家药学服务并完成问卷调查,采集老年患者基本情况、家庭药箱管理情况、用药安全情况,采用logistic回归或多重线性回归分析用药安全影响因素。结果:共收集有效问卷294份,覆盖山东省14个城市的城镇老年患者家庭。城镇老年患者慢性病共病患病率为61.22%,多重用药占比为27.21%,家庭药箱管理中存在药品未分类存放、存在重复相似成分的药品重复、药品缺少包装等问题。70.07%老年患者用药依从性差,logistic回归结果显示受教育程度是用药依从性的影响因素;老年患者用药认知和用药行为评分为良好,多重线性回归结果表明受教育程度和月收入是用药认知和用药行为得分的主要影响因素。结论:老年患者共病现象突出、多药共用常见、家庭药箱管理问题多、用药依从性不高等增加了居家用药的风险,亟需推广居家药学服务,保障老年患者用药安全。OBJECTIVE Through questionnaire survey,understand the current status and influencing factors of home medication safety for urban elders in Shandong Province and provide references for pharmacists providing home pharmaceutical care.METHODS Pharmacists provided home pharmaceutical care for elders and completed a questionnaire survey to obtain basic profiles and managed family medicine chest and drug safety.Binary logistic regression or multiple linear regression was utilized for examining the influencing factors of drug safety.RESULTS A total of 294 valid questionnaires,covering families of elders in 14cities in Shandong Province,were obtained finally.The prevalence of multiple chronic conditions in urban elders was 61.22%and 27.21%of urban elders received polypharmacy treatment.There were still many problems of family medicine chest,such as nonclassification,similar drugs and lacking package.And 70.07%of elders had poor medication compliance.Binary Logistic regression indicated that education level was an influencing factor of medication compliance.Medication literacy and common sense,including medication cognition and behavior,were rated as good.The results of multiple linear regression revealed that the influencing factors of score of medication cognition and behavior were education level and monthly income.CONCLUSION Due to the existence of multiple chronic conditions,dosing of various drugs,poor management of family medicine chest and low medication compliance have elevated,the risks of home medication for elders.It is necessary to provide home pharmaceutical care for elders.

关 键 词：用药安全 老年患者 居家药学服务 现状调研 家庭药箱 

分 类 号：R95[医药卫生—药学]