摘要
目的调查贵州省某地区三级甲等公立医院住院患者慢性病的综合情况,为确立重点关注对象、建立有效的合理用药干预模式提供可靠依据。方法以科室为单位随机抽取2018年12月至2019年6月该院心内科、呼吸内科及肾内科治疗的住院患者,采用自制慢性病患者药物治疗综合情况调查表,收集慢性病患者临床资料,并对数据进行统计、分析和评价。结果共381例住院患者纳入研究,其中60岁以上的老年人占80.1%(305/381);随着患者每月服用药物数量的增加,药品不良反应的发生例数、住院次数、所患慢性病数量不断增加,差异均有统计学意义(P<0.05)。患者用药依从性差,评分为(4.3±2.2)分。多因素logistic回归分析发现,年龄、所患慢性病数量及患者每月服用药物数量是用药依从性差的危险因素(P<0.05)。患者对临床药师的认知度较差,74.8%(285/381)的患者没有听说过临床药师。结论60岁以上住院患者慢性病共存合并多重用药现象较广泛,需临床药师进一步参与老年人慢性病管理,降低其危险因素的发生率。
Objective To investigate the comprehensive situation of chronic diseases among inpatients in a tertiary-level first-class public hospital in a certain area of Guizhou Province,and provide a reliable basis for establishing key targets and establishing an effective intervention model for rational drug use.Methods From December 2018 to June 2019,inpatients treated by the Department of Cardiology,Respiratory Medicine,and Nephrology of the hospital were randomly selected based on the department.A self-made questionnaire on the comprehensive medical treatment of patients with chronic diseases was used to collect clinical data of patients with chronic diseases,and to conduct statistics,analysis and evaluation of the data.Results A total of 381 hospitalized patients were included in the study,of which 80.1%(305/381)were elderly over 60 years old.With the increase in the number of drugs taken by patients each month,the number of adverse drug reactions,the number of hospitalizations,and the number of chronic diseases continued to increase,and the differences were statistically significant(P<0.05).The patient′s medication compliance was poor,and the score was(4.3±2.2)points.Multivariate logistic regression analysis found that age,the number of chronic diseases and the number of medications the patient took each month were risk factors for poor medication compliance(P<0.05).The patient′s awareness of clinical pharmacists was poor,74.8%(285/381)of the patients had never heard of clinical pharmacists.Conclusion The phenomenon of coexistence of chronic diseases and multiple medications in hospitalized patients over 60 years old is widespread,and clinical pharmacists are required to further participate in the management of chronic diseases in the elderly to reduce the incidence of risk factors.
作者
郭海
张璇
袁燕
吴利利
GUO Hai;ZHANG Xuan;YUAN Yan;WU Lili(Department of Pharmacy,the Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou 563003,China;Department of Endocrinology,the Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou 563003,China)
出处
《现代医药卫生》
2021年第14期2366-2368,2373,共4页
Journal of Modern Medicine & Health
基金
贵州省遵义市科学技术局科技合作计划项目(遵市科合社字〔2018〕60号)。
关键词
慢性病管理
影响因素
横断面调查
临床药师
Management of chronic diseases
Influencing factors
Cross-sectional survey
Clinical pharmacist