基于《中国老年人潜在不适当用药判断标准(2017版)》的老年患者不适当用药评价研究
投稿时间:2019-02-12  修订日期:2019-03-21  点此下载全文
引用本文:刘夏,潘琴,徐迅科,李升华,杨秋娅,朱莹.基于《中国老年人潜在不适当用药判断标准(2017版)》的老年患者不适当用药评价研究[J].药学实践杂志,2019,37(3):283~288
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作者单位
刘夏 上海申园康复医院 药剂科, 上海 201619 
潘琴 上海申园康复医院 内科, 上海 201619 
徐迅科 上海申园康复医院 内科, 上海 201619 
李升华 上海申园康复医院 内科, 上海 201619 
杨秋娅 上海申园康复医院 药剂科, 上海 201619 
朱莹 上海申园康复医院 内科, 上海 201619 
基金项目:上海医院药学科研基金项目(2018-YY-08)
中文摘要:目的 通过分析养老机构老年多重用药患者潜在不适当用药的现状,为临床药师推进老年患者的合理用药提供参考依据。方法 随机抽取上海某养老机构老年多重用药患者258例,以《中国老年人潜在不适当用药判断标准(2017版)》为评价依据进行分析,总结检出的潜在不适当用药(PIM)情况。结果 研究对象的平均年龄为(82.57±5.56)岁,平均服药种数(6.98±1.96)种,共检出160名(62.0%)患者存在PIM。其中,与药物有关的潜在不适当用药206项,与疾病状态有关的潜在不适当用药91项。结论 养老机构老年多重用药患者潜在不适当用药情况突出,临床药师依托多学科评估团队介入药物治疗,对发现和消除PIM及优化用药方案起到重要作用。
中文关键词:潜在不适当用药目录  养老机构  多重用药
 
Research on potentially inappropriate medication use in elderly patients:based on the clinical use of Criteria of potentially inappropriate medications for older adults in China(2017)
Abstract:Objective To provide reference for clinical pharmacists to promote rational medication use in elderly patients by analyzing the current situation of elderly patients with multiple medication use in nursing institution.Methods A total of 258 elderly patients with multiple medication use were randomly selected from a nursing institution in Shanghai.Based on Criteria of potentially inappropriate medications for older adults in China,the situation of potential inappropriate medication use (PIM) were analyzed and summarized.Results The average age of subjects was (82.57±5.56) years old,and the average number of medication use was (6.98±1.96).A total of 160 (62.0%) patients were detected with PIM.Among them,206 were potential inappropriate medications related to medications and 91 were potential inappropriate medications related to disease status.Conclusion Potential inappropriate use of medication was serious in elderly patients with multiple medication use in nursing institution.Clinical pharmacists should rely on multidisciplinary evaluation teams to intervene in medication treatment,which would play an important role in discover and eliminate PIM as well as optimize of medication use.
keywords:potentially inappropriate medication  nursing institution  poly-pharmacy
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