健康发展与政策研究2025，Vol.28Issue(3)：335-342,8.DOI:10.12458/HDPR.202412066
徐州市城区居家养老老年慢性病患者多重用药行为的现状及其影响因素分析
Current status and influencing factors of polypharmacy behavior among elderly chronic disease patients under home-based elderly care in the urban area of Xuzhou City
摘要
Abstract
Objective By analyzing the polypharmacy data of elderly patients with chronic diseases under the home-based elderly care model in the urban area of Xuzhou City,this study aims to identify the influencing factors of polypharmacy behavior in this population,propose measures to improve polypharmacy behavior,and thereby reduce the health damage caused by irrational medication use and improve the quality of life of the elderly.Method A two-stage mixed sampling method,together with a self-established questionnaire was employed to investigate the polypharmacy situation among home-based elderly individuals in the urban area of Xuzhou City.Results The polypharmacy rate among elderly patients with chronic diseases under urban home-based elderly care in Xuzhou City was 9.70%.The following factors were associated with polypharmacy behavior:without a spouse(OR=0.42,95%CI:0.20～0.86),medication costs exceeding economic affordability of individuals or families(OR=0.40,95%CI:0.19～0.85),medical insurance for employees(OR=18.88,95%CI:5.29～67.40),seeking medical care at municipal or higher-level hospitals(OR=3.93,95%CI:1.96～7.89),multimorbidity with over 5 chronic diseases(OR=50.04,95%CI:12.02～208.42),adverse drug reactions records(OR=0.18,95%CI:0.07～0.46),medication use guided by physicians(OR=0.10,95%CI:0.02～0.48),good medication compliance(OR=10.13,95%CI:3.82～26.87),coronary heart disease(OR=2.60,95%CI:1.11～6.06),and arthritis(OR=3.05,95%CI:1.48～6.30).Elderly patients with chronic diseases with these factors were more prone to polypharmacy Conclusion Efforts should continue to popularize and promote medication education,strengthen guidance on medication use for elderly patients with chronic diseases,enhance awareness of scientific administration,and optimize basic healthcare services for community residents.关键词
城区/居家养老/慢性病/老年人/多重用药Key words
urban area/home-based elderly care/chronic diseases/elderly people/polypharmacy分类
医药卫生引用本文复制引用
李敬源,许建强,蒋婷,戴艳,钱东福..徐州市城区居家养老老年慢性病患者多重用药行为的现状及其影响因素分析[J].健康发展与政策研究,2025,28(3):335-342,8.基金项目
国家自然科学基金(72374110) （72374110）
