社区老年人群用药现状分析

Investigation on Medicine Usage among Elders in Urban Community

目的了解临沂市罗庄区社区老年人群口服药物及不良反应发生情况。方法采用多级整群抽样方法从临沂市罗庄区城区抽取3 423名60岁以上老年人为调查对象.详细询问老年人一般人口学特征、慢性病史、服药情况、不良反应情况等。采用SPSS10.0软件进行率的χ2检验。结果临沂市罗庄区社区老年人群的服药率为50.5%,不同性别、不同年龄、不同教育程度人群的服药率差异有统计学意义(P<0.05)。老年人群药物不良反应发生率为5.3%,女性、非在婚者及未严格按照医嘱或说明书服用药物者不良反应发生率较高,分别为6.2%,6.9%和12.7%,未遵照医嘱或说明书服用药物者显著高于遵照医嘱或说明书服用者(χ2=12.275,P<0.01)。结论临沂市罗庄区社区老年人群用药频率高,药物不良反应是老年人的卫生问题。加强对老年人用药监测和干预有助于改善老年人的健康水平。

Objective To study the medicine usage and adverse drug reaction in the elderly in urban community of Luozhuang city. Methods Using multistage sampling,3 423 people aged 60 years and over were selected from urban communities in Luozhuang, and inquired about demographic status,chronic disease history, medicine usage, and adverse drug reaction status. Data were analyzed with Chi -square test by SPSS10.0 software. Results The rate of medicine usage among the elderly was 50. 5% ,and there were significant difference for medicine usage in different sex, age groups and education （P 〈 0. 05） . The rate of adverse durg reaction was 5.3% , and among the subjects of female, living without spouse and unreasonable medication, the incidence of adverse drug reaction was 6.2%, 6.9% and 12.7% ,respectively,Statement did not comply with the doctor or drug use was significantly higher than that in accordance with the doctor＇ s advice or statement users （ X^2 = 12. 275, P 〈 0. 01 ）. Conclusion The rate of medicine usage is high among the elderly in Laozhuang, and adverse drug reaction is common in the eldder. Strengthening survey and intervention of medicine is important to improve health condition of the elderly.