中国临床保健杂志2018，Vol.21Issue(2)：148-152,5.DOI:10.3969/J.issn.1672-6790.2018.02.002
老年人用药依从性及其相关影响因素分析
Medication adherence and the related influential factors among the elderly patients
王秋梅 1闫雪莲 1刘晓红 1康琳 1张宁 1曲璇 1葛楠1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京100730
- 折叠
摘要
Abstract
Objective To assess medication adherence among the elderly patients and to identify probable risk factors.Methods The elderly patients admitted to the geriatric ward in Peking Union Medical College Hosptital from September 2016 to December 2017 were investigated with comprehensive geriatric assessment(CGA)by the trained doc-tors,including sociodemographic information,multiple chronic conditions,medications and medication adherence,and common geriatric syndromes such as visual impairment,hearing impairment,urinary incontinence,falls,malnutrition,cog-nitive impairment,depression,anxiety,and frailty.Data were analyzed using SPSS version 20.0 software(SPSS,Inc., Chicago,IL).Results 209 inpatients of more than 65 years old were included in the final analysis,57(27.3)%of re-spondents self-reported nonadherent to some extent.By pearson χ2analysis,non-adherence to medication correlated with the polypharmacy,depression,impaired ADL,and frailty(P<0.05).Patients with comorbidities had a better adherence than those with single common chronic disease(P<0.05).Logistic analysis showed that depression,falls and impaired ADL were the risk factors(P<0.05).Conclusion The frail elderly patients with polypharmacy,depression,impaired ADL should be the target population of medication adherence management.In addition,the patients with single chronic disease also need more health education.关键词
多种药物疗法/综合评估/服药依从性/老年人Key words
Polypharmacy/Comprehensive evaluation/Medication Adherence/Aged分类
医药卫生引用本文复制引用
王秋梅,闫雪莲,刘晓红,康琳,张宁,曲璇,葛楠..老年人用药依从性及其相关影响因素分析[J].中国临床保健杂志,2018,21(2):148-152,5.
