社区老年人用药现状调查

Medication Status of Elder People in Community

目的:了解社区老年人的用药现状,为药师促进老年人合理用药提供工作切入点。方法:采用问卷与访谈相结合的方法,对484例社区老年人的用药现状进行调查。结果:影响老年人健康的主要疾病包括高血压、糖尿病、冠心病、脑血管疾病;平均用药品种数为2.92种;随着教育背景的升高,阅读药品说明书的比例有所增加,但用药依从性的比例降低;老年人普遍对药品和药品不良反应(ADR)知识不甚了解(91.74%和60.74%);表示接受过药师用药指导的占21.11%;有问题咨询药师的仅占3.10%。结论:老年人用药品种多,对ADR的认知少,药师的公众认知度低。亟待提高社区医疗机构的药学服务能力,以提升药师的社会影响力。

OBJECTIVE： To probe into the medication status of the elder patients in community so as to provide reference for pharmacists to promote rational medication for the elderly people in community. METHODS： The medication status of 484 cases in the community was investigated through questionnaire and interview. RESULTS： The principal diseases affecting the health of the elder people included hypertension, diabetes mellitus, coronary heart disease, cerebrovascular disease. The average number of drugs they used totaled 2.92 kinds; the higher the educational background, the higher proportion of the elder people who read drug package instruction but the lower ratio of medication compliance. The elder people commonly had poor knowledge about the drugs and adverse drug reactions（91.74% and 60.74% ）;21.11% responded that they had ever received medication guidance from pharma- cists, only 3.10 % responded that they had once consulted pharmacists about medication problems. CONCLUSION： The medication of the elder/~eople in community is characterized by multiple drug varieties, poor ADR knowledge and lower cognition on pharma- cists. It is urgent to improve the pharmaceutical care ability of medical institution and enhance the social influence of pharmacists.