老年综合评估优化老年人多重用药的临床分析

Clinical analysis of optimizing multiple drug use in the elderly by comprehensive geriatric assessment

目的分析老年综合评估优化老年人多重用药的临床效果。方法144例接受多重用药治疗的老年患者,根据随机编号单双数分为对比组和观察组,每组72例。对照组采用常规用药干预,观察组采用老年综合评估干预。对比两组患者用药过程存在的问题、用药潜在危害程度、对干预方法的满意度及干预前后用药依从性评分。结果观察组患者用药剂量过多、用药剂量过少、用药疗程过短、用药疗程过长、药剂选择不适宜发生率分别为5.56%、4.17%、4.17%、2.78%、2.78%,均低于对比组的16.67%、13.89%、13.89%、11.11%、18.06%,差异具有统计学意义(P<0.05)。干预前,两组患者用药依从性评分对比差异无统计学意义(P>0.05);干预后,观察组患者用药依从性评分为(90.56±3.88)分,高于对比组的(81.89±3.23)分,差异具有统计学意义(P<0.05)。观察组患者用药潜在危害程度低于对比组,差异具有统计学意义(P<0.05)。观察组患者对干预方法的满意度为97.22%,高于对比组的87.50%,差异具有统计学意义(P<0.05)。结论针对老年人多重用药采用老年综合评估干预,能够有效降低患者用药过程中的潜在风险,提高用药安全性和依从性。

Objective To analyze the clinical effect of comprehensive geriatric assessment in optimizing multiple drug use in the elderly.Methods A total of 144 elderly patients receiving multiple drug therapy were divided into comparison group and observation group based on randomly numbered odd-even numbers,with 72 cases in each group.The comparison group was treated with conventional drug intervention,and the observation group was treated with comprehensive geriatric assessment intervention.The problems and potential harms of drug use,the satisfaction with the intervention method and medication compliance score before and after intervention were compared between the two groups.Results The incidence rates of excessive dose,too little dose,too short treatment duration,too long treatment duration,and inappropriate drug selection were 5.56%,4.17%,4.17%,2.78%,and 2.78%in the observation group,which were lower than those of 16.67%,13.89%,13.89%,11.11%,and 18.06%in the comparison group.The differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in medication compliance score between the two groups(P>0.05).The potential harms of drug use in the observation group was lower than that in the comparison group,and the difference was statistically significant(P<0.05).The satisfaction with intervention method of the observation group was 97.22%,which was higher than that of 87.50%of the comparison group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive geriatric assessment for multiple drug use in the elderly can effectively reduce the potential risks of the elderly in the course of drug use,and improve the safety and compliance in drug use.