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目的了解社区老年慢性病患者在用药过程中的药物相关问题,分析其产生用药问题的原因并进行重要性的排序,制定出针对性的药学干预方案。方法采用问卷式调查的方法,对315例60岁以上的慢性病患者的疾病种类、服药情况、就医情况进行调查。结果随着年龄的增加,疾病种类、服药种类、服药种数、潜在不恰当用药数均在增加。同时,随着每日服药种类的增加,相应发生药物不良反应(ADR)的几率增大,3个月内就医人数增加。患者是否焦虑与服药种类并无直接关系。结论通过对温江地区≥60岁的不同人群的各种慢性病患者进行问卷调查,建议为慢病患者建立用药资料,定期随访,关注老年患者的药物不良反应,定期评价药物治疗方案,适时调整,为患者提供安全、经济、适当的治疗,减少医疗费用的支出。
Objective To understand the drug-related problems of elderly patients with chronic diseases in the community during drug use, analyze the causes of their medication problems and sort them of importance, and formulate the targeted drug intervention programs. Methods A questionnaire survey method was used to investigate the types of diseases, taking medicine and medical treatment in 315 cases of chronic diseases over the age of 60. Results As the age increased, the types of diseases, the types of medication, the number of medication, the number of potential inappropriate medication were on the rise. At the same time, with the increase of daily medication types, the corresponding incidence of adverse drug reactions (ADR) increases, and the number of people seeking medical care within three months increases. Whether patients have anxiety and medication type is not directly related. Conclusion Through questionnaire survey of various chronic diseases in different age groups ≥60 years old in Wenjiang district, it is suggested to establish the medication information for chronic patients, follow up regularly, pay attention to the adverse drug reactions in elderly patients, evaluate the drug treatment plan regularly, Patients provide safe, affordable and appropriate treatment to reduce medical expenses.