高齢者介護施設における通常の薬剤の欠落:遡及的観察研究
Stephanie M Garratt1, Maneesh Prasad1, Kelly Ottosen1
1School of Nursing and Midwifery, Monash University, Level 1, 10 Chancellors Walk, Clayton Campus, Melbourne 3800, Australia.
International journal of nursing studies
|August 24, 2025
まとめ
高齢者介護施設では,特に食道と神経系に影響を与える薬剤の投与量を省略することが一般的です. 住民のケアと高齢者介護従事者を支援するために,記録と教育の改善が必要である.
科学分野:
- ゲロントロジー
- 薬理学について
- 医療管理
背景:
- 高齢者介護施設での薬剤投与は,許可された労働者に依存し,投与量を見逃す可能性があります.
- 薬の投与量に関する既存の研究は主に病院環境に焦点を当てており,高齢者のケアに特化したデータは欠けている.
- 高齢者介護施設での薬剤投与の欠落に関する経験的証拠には,その発生,影響を受ける薬剤の種類,および根本的な理由に関する重大なギャップがあります.
研究 の 目的:
- オーストラリアの高齢者介護施設における 薬剤投与の欠落の特徴
- 流行率,最も頻繁に省略された薬,省略のカテゴリー,タイミング,および省略の理由を決定します.
- 高齢者の介護における薬剤投与の改善のためのデータを提供すること.
主な方法:
- 遡及的観察研究では,2023年3月から2024年3月までの非特定電子薬投与データを分析した.
- データには,居住者の人口統計,スタッフの許可,および投与量の省略の記録された理由が含まれています.
- 統計的分析には,記述的統計,tテスト,活動パターン分析,および相関が含まれていました.
主要な成果:
- 287の施設の12,000人以上の住民は,投与された100回の投与量に対して平均1回の投与量欠落を経験しました.
- 食道と代謝 (1:26. 84用量) と神経系 (1:53. 65用量) の薬は,最も一般的に省略されました.
- パラセタモール,下痢剤,潤滑眼滴は,記録の56%が省略の理由を欠いていることが頻繁に見られました.
結論:
- オーストラリアの高齢者介護施設では 薬の投与量を省略していますが 記録は不一致です
- 患者中心のケアには 欠陥管理と記録の標準化が必要である.
- 改善された教育と 標準化された記録は 臨床的意思決定を支援し 薬のレビューを参考にすることができます
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