Investigation on the Medication Use Among Elderly Patients in an Old-Age Care Institution of Medical-Nursing Combined in Shanghai
Objective To promote the rational drug use in elderly patients.Methods The health records of elderly patients residing in an old-age care institution of medical-nursing combined in Shanghai from September to December 2023 were collected,the patients'general data,disease and medication use information was recorded.The medication adherence was evaluated by the Morisky Medication Adherence Scale,the potentially inappropriate medications(PIMs)in the elderly were screened based on the American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults.Results A total of 1 566 patients were included,with an average age of(81.25±7.04)years,an average of(3.14±1.49)chronic diseases,and an average of(5.58±3.92)medications taken daily for chronic diseases;the incidence of polypharmacy(≥ five types)was 59.32％.The average score of Morisky Medication Adherence Scale was(6.08±1.67)points,among which 193(12.32％),751(47.96％),622 cases(39.72％)had high,medium and low adherence,respectively.At least one PIMs were detected in 942 patients(60.15％),and 2 891 case times of PIMs were detected,including 1 892 case times of PIMs that the elderly should avoid,540 case times of PIMs induced by drug-disease/drug-syndrome interactions,378 case times of PIMs induced by medications that the elderly should use with caution,and 81 case times of PIMs induced by potentially drug interactions that the elderly should avoid.Conclusion Elderly patients in the old-age care institution of medical-nursing combined have prominent comorbidities and polypharmacy problems,low medication adherence,and severe PIMs.Clinical pharmacists should comprehensively evaluate the medication use of elderly patients and provide rational recommendations;multidisciplinary teams for the elderly should strengthen the identification and attention to medication risks for elderly patients,and enhance medication safety management.
old-age care institution of medical-nursing combinedrisk of drug usepotentially inappropriate medication
万方数据
维普
