坪山区龙田街道老年慢性病合理用药调查及对策

Investigation and countermeasure of rational medication in elderly patients with chronic diseases in Longtian street of Pingshan district

目的了解坪山区龙田街道老年慢性病患者用药现状,为老年慢性病患者安全用药干预提供依据。方法选取坪山区龙田街道2019年8月~2020年3月慢性病老年患者50例,采用自制的问卷调查表对患者用药情况进行调查,包括基本信息、药物信息、用药知识以及用药情况等。结果本研究50例患者中高血压21例(42.00%),糖尿病18例(36.00%),慢性支气管炎8例(16.00%),3例患者合并2种或2种以上的疾病(6.00%)。用药种类以1种或2种为主,共占比52.00%;服药年限以2、3年居多,合计占54.00%。社区内老年慢性病患者对于药物的服用时间、使用方法、不良反应、保管与储藏、成瘾性/依赖性以及处方药与非处方药的差异性等掌握情况均以不知道为主,且均占比≥50%,其中患者对于药物的药效期掌握也以不知道为主,占46.00%。结论老年慢性病患者群体经常会出现不合理用药的情况,因此需要加强老年人慢性病的综合防治,加强药物知识以及健康知识的宣传和指导。

Objective To investigate the medication status in elderly patients with chronic diseases in Longtian street of Pingshan district,so as to provide a basis of safe medication intervention for them.Methods 50 elderly patients with chronic diseases from August 2019 to March 2020 in Longtian street of Pingshan district were selected and their medication status was investigated with self-made questionnaires,including basic information,drug information,medication knowledge and medication status.Results Among the 50 patients in this research,there were 21 patients with hypertension(42.00%),18 patients with diabetes(36.00%),8 patients with chronic bronchitis(16.00%),and 3 patients with two or more complicated diseases(6.00%).The number of main drug types was 1 or 2,accounting for 52.00%in total.The duration of taking drugs was mostly 2 or 3 years,accounting for 54.00%in total.The elderly patients with chronic diseases in the community did not know the time of medication,the method of administration,adverse reactions,custody and storage,addiction/dependence and the difference between prescription drug and OTC drug,accounting for≥50%.And the patients did not know the drug efficacy period,accounting for 46.00%.Conclusion Irrational medication often occurs in elderly patients with chronic diseases.Therefore,it is necessary to strengthen the comprehensive prevention and treatment of chronic diseases of the elderly,and to strengthen the propaganda and guidance of drug knowledge and health knowledge.