社区高龄老人用药安全照护需求状况及其影响因素

Demand status quo and influencing factors of medication for elderly people in community

[目的]了解高龄老人用药安全照护需求状况,分析衰弱程度、支持体系与用药安全照护需求的相关性。[方法]随机选取唐山市10个社区卫生服务中心辖区居民中75岁及以上的老年人,进行衰弱评估、老年人安全用药行为测评。[结果]3 448名高龄老人中,长期用药者2 534人,占73.5%,每天服用3种及以上药物者占39.3%,用药安全照护需求高者占49.8%;多因素分析显示:受教育程度、衰弱程度、日常活动能力、喜欢读书看报、社会支持、与子女交流是老人用药安全照护需求的影响因素。[结论]应加强对高龄老人用药安全照护,加强社会和家庭支持,鼓励老年人通过各种渠道获取相关知识,提升安全用药行为。

Objective：To understand the demand condition for medication safety care of elderly people.The correlation among the degree of frailty,the support system and the medication safety care demand was analyzed.Methods：Elderly people aged 75 and over from10 community health service centers in Tangshan city were randomly selected to evaluate the frailty and safety behaviors of the elderly.Results：Among the 3 448 elderly,there were 2 534 long-term drug users,accounting for 73.5%,39.3% were taking 3 or more drugs a day,49.8% of those had high demand for medication safety care.Multivariate analysis showed that education level,frailty degree,activities of daily living,reading,social support and communication with children were the influencing factors of the elderly＇s medication safety care needs.Conclusions：The drug safety care for the elders and social and family support should be strengthened and the elderly should be encouraged to acquire relevant knowledge through various channels,so as to enhance medication safety behaviors.