罹患不同慢性病社区高龄老年人服药状况分析

Analysis of Medication Status of Elderly People with Different Chronic Disease Communities

目的:了解社区高龄老年人慢性病患病情况及服药状况,为高龄老年人合理用药提供护理指导。方法:采用多级抽样法,对河北省唐山市市区内10个社区卫生服务中心辖区居民中75岁及以上老年人进行问卷调查。结果:性别、年龄、婚姻状态、罹患不同种类慢性病均与社区高龄老年人服药种数有关,差异有统计学意义(P<0.05)。罹患不同慢性病社区高龄老年人服药种数多因素logistic回归分析结果显示,患有高血压、冠心病、糖尿病、高血脂、脑血管疾病、呼吸系统疾病、胃肠疾病均是影响社区高龄老年人用药种数的危险因素,差异有统计学意义(P<0.05)。结论:社区高龄老年人群存在多种慢性病并存、服药种数繁多的问题,可能增加药源性疾病发生的风险,社区护理工作者应加强对高龄老年人的用药指导。

Objective:To understand the chronic disease and medication status of the elderly in the community,and to provide nursing guidance for the rational use of medication for the elderly.Methods:A multilevel sampling method was used to conduct a questionnaire survey among residents aged 75 years or older in the districts of 10 community health service centers within Tangshan City,Hebei Province.Results:Gender,age,marital status,and different types of chronic diseases were associated with the number of medications taken by the elderly in the community,and the differences were statistically significant(P<0.05).The logistic regression analysis resulth of medication number taken by the elderly with different chronic diseases in the community showed that having hypertension,coronary heart disease,diabetes mellitus,hyperlipidemia cerebrovascular disease,respiratory disease,and gastrointestinal disease were all factors that influenced risk factors for the number of medication species used by the elderly in the community,with statistically significant difference(P<0.05).Conclusion:The community elderly population suffers from the coexistence of multiple chronic diseases and a wide variety of medications,which may increase the risk of pharmacogenic diseases,and community care workers should strengthen the guidance of medication use for the elderly.