药物管理困难,药物不服药和认知障碍老年美国人住院的风险:全国代表性研究
Jinjiao Wang1, Zijing Cheng2, Yue Li2
1Elaine Hubbard Center for Nursing Research on Aging, University of Rochester School of Nursing, Rochester, NY, USA.
概括
患有痴呆症的老年人与药物管理最为困难,增加住院的风险. 那些有完整的认知能力的人面临着因成本相关的不遵守而面临住院的风险,突出了对药物支持的不同需求.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 在老年人中,有效的疾病管理对于预防不良结果至关重要.
- 药物坚持是关键因素,特别是对于认知障碍的人来说.
- 认知能力下降显著影响老年人的药物管理能力.
研究的目的:
- 研究认知障碍与药物管理之间的关系.
- 评估认知功能对药物坚持和住院风险的影响.
- 为了确定药物使用在老年人不同认知功能水平的特定挑战.
主要方法:
- 分析了来自28558名社区老年人的数据.
- 根据认知功能对参与者的分类:痴呆症,没有痴呆症的认知障碍和完整的认知.
- 统计分析以确定认知状态,药物管理困难,不服药和住院之间的关联.
主要成果:
- 痴呆症患者报告药物管理困难最高 (13.12%),其次是没有痴呆症的认知障碍 (5.80%),以及完整的认知 (1.96%).
- 药物管理困难与仅在痴呆症患者中增加住院风险显著相关 (OR = 1.71).
- 与成本相关的不遵守与住院风险有关,仅在具有完整认知的老年人中 (OR = 1.25) 相关.
结论:
- 痴呆症与药物管理中的挑战密切相关,导致住院住院的风险更高.
- 认知障碍需要为老年人群的药物坚持提供量身定制的支持系统.
- 了解认知特异性药物管理问题对于减少老年人不良健康结果和住院治疗至关重要.
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