阳谷县老年慢性病患者多重用药现状及影响因素分析

Analysis on the current situation and influencing factors of multiple drug use in elderly patients with chronic diseases in Yanggu County

目的了解阳谷县老年慢性病患者多重用药现状,分析多重用药影响因素,为老年人合理用药提供科学依据。方法采用整群抽样的方法,对阳谷县常住的老年人(≥60岁)进行调查。采用面对面询问的方式收集资料。调查老年人的基本情况、患病情况、用药情况、就医习惯等信息,并对多重用药进行分析。描述阳谷县老年人多重用药现状;采用多因素Logistic回归分析老年人多重用药不良反应的影响因素。结果共纳入老年人3142人,慢性病患者2497人,患病率为79.47%,慢性病患者中多重用药的601人(占24.07%)。多重用药的影响因素有医疗保险类型、并发症、固定医生、药物调整方式、就诊医院、享受慢性病待遇、日常生活能力分级、用药依从性、门诊就诊。社区医生相对于其他调整方式、就诊医院级别高、用药依次从差是多重用药的保护因素,其他是其危险因素。结论阳谷县老年人慢性病患者多重用药率24.07%。多重用药是多因素导致,与疾病严重程度、专科医生进行药物调整、功能障碍有关,就诊于市级及以上医院可减少多重用药。

Objective:To understand the current situation of multiple drug use in elderly patients with chronic diseases in Yanggu County,and to analyze the influencing factors of multiple drug use so as to provide scientific basis for rational drug use for the elderly.Methods:The group sampling method was used to investigate the old people(≥60 years old)who lived in Yanggu County.Data were collected by face-to-face inquiry.The basic situation,disease situation,drug use,medical habits and other information of the elderly were investigated,and the multiple drug use was analyzed.The current situation of multiple drug use in the elderly in Yanggu County was described,and the influencing factors of adverse reactions of multiple drug use in the elderly were analyzed by multiple factor Logistic regression.Results:A total of 3142 elderly people were included,2497 of them were chronic disease patients,the prevalence rate was 79.47%,and 601 of them(24.07%)were multiple drug use.The influencing factors of multiple drug use were medical insurance type,complications,fixed doctors,drug adjustment mode,hospital treatment,chronic disease treatment,ability of daily life classification,drug compliance and outpatient treatment.Compared with other adjustment methods,high level of hospitals and poor medication order,community doctors were the protective factors and others were risk factors of multiple medication.Conclusion:The rate of multiple drug use was 24.07%in Yanggu County.Multiple drug use is caused by multiple factors,which is related to the severity of the disease,the adjustment of drugs by the specialists,and the dysfunction.Multiple drug use can be reduced in hospitals at or above the municipal level.