合理用药宣教对社区老年慢病患者用药管理的影响

Effect of Rational Drug Use Education on Medication Management in Elderly Patients with Chronic Diseases in Community

目的了解合理用药宣教效果,建立长效机制。方法对固定的社区老年患者开展合理用药宣教活动,发放调查问卷,了解合理用药宣教对老年慢病患者用药管理的影响。结果纳入符合条件的98名老年慢病患者为研究对象。受访人群平均年龄79.4岁,所患慢病种类以心脑血管疾病、内分泌疾病、呼吸系统疾病为主。同时患有3种慢病的占30.61%,多种药物联用情况普遍存在,同时使用7～10种药品的占比为51.02%。经过合理用药宣教后,患者的合理用药认知度、用药依从性、说明书认知度及家庭备药情况均得到大幅改善。结论合理用药宣教作为药学服务的方式之一,对社区老年慢病患者用药管理效果显著。

OBJECTIVE To understand the propaganda effect of rational drug use and establish a long-term mechanism.METHODS Rational drug use for elderly patients in fixed communities,to issue questionnaires,understanding the effect of rational drug use and propaganda on medication management in elderly patients with chronic diseases. RESULTS 98 eligible elderly patients with chronic diseases were included in the study. The average age of the respondents was 79. 4 years old. The main types of chronic diseases were cardio cerebral vessels diseases,endocrine diseases and respiratory diseases. 30. 61% of the patients suffered from three kinds of chronic diseases. The combination of multiple drugs was common,and 51. 02% of them used 7-10 kinds of drugs simultaneously.After rational drug use and education,patients’ awareness of rational drug use,drug compliance,manual awareness and family drug preparation have been significantly improved. CONCLUSION As one of the ways of pharmaceutical care,propaganda and education on rational drug use has a remarkable effect on the drug administration of elderly chronic disease patients in the community.