持续的药使用及其与老人院居民排便的关系:使用interRAI的纵向观察研究
Manami Takaoka1, Ayumi Igarashi1, Ayako Ninomiya2
1Department of Gerontological Home Care and Long-term Care Nursing, The University of Tokyo, Bunkyo-ku, Japan.
Geriatrics & gerontology international
|December 20, 2023
概括
在大多数养老院居民中,尽管使用药,便秘和腹仍然存在. 新型药与腹增加有关,这表明需要在这个人群中进行进一步研究.
科学领域:
- 老年医学 老年医学
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 肠道运动障碍在老年人群中很普遍,特别是在长期护理机构.
- 松剂的使用是常见的管理便秘在养老院居民,但其长期的疗效和副作用需要调查.
研究的目的:
- 在日本养老院居民中调查慢性便秘,腹和长期使用药之间的关系.
- 分析不同类型的药对这一群体肠道排便模式的影响.
主要方法:
- 一组306名75岁以上患有慢性便秘的居民在两个6个月的时间内使用日本interRAI工具进行了评估.
- 收集的数据包括人口统计,药物使用,功能状态和并发症.
- 使用双变量和多变量分析来确定便秘,腹和持续使用药之间的关联.
主要成果:
- 慢性便秘在74.5%的住户中持续存在,尽管正在进行药治疗.
- 14.4%的居民在使用药时经历了慢性腹.
- 盐药的使用与慢性便秘的减少有关 (调整后几率比率[AOR]0.52),而新药的使用与慢性腹的增加有关 (AOR4.28).
结论:
- 肠道管理仍然是养老院居民面临的重大挑战,即使是持续的药治疗.
- 这些发现表明,新药使用可能会增加腹的风险,这需要进一步的临床研究.
- 进一步的研究对于优化长期护理中老年人的药策略至关重要.
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