印度城市社区中老年人的多药和自我治疗 - - 一项横截面研究
Saibal Das1,2, Pavithra Gnanavel3, Shalini Smanla4
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden. saibal.das@ki.se.
多药性影响超过三分之一的老年人,与并发症和护理过渡有关. 自我治疗也很普遍,许多人缺乏知识,并从事不安全的做法,强调需要进行干预.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 老年人是易受药物相关危害影响的弱势群体.
- 多药和自我治疗是老年人群的重大问题,可能导致不良健康结果.
研究的目的:
- 估计患病率,并确定与印度老年人多药和自我治疗相关的因素.
- 评估这个人口群体中与自我治疗相关的知识,态度和做法.
主要方法:
- 一项涉及印度六个城市600名老年人的横截面研究.
- 使用了老年人处方和查工具的更新查工具,以提醒正确治疗 (STOPP/START) 标准 (版本3).
- 采用描述性统计,二进制后勤回归和多变量分析来分析药物使用和自我治疗的数据.
主要成果:
- 多药性患病率为33.7%,与多种并发症,护理过渡和住院有显著的关联.
- 在28.8%的处方中发现了潜在不合适的药物,在20.3%的处方中发现了潜在的处方遗漏.
- 自我治疗的患病率为19.7%,与单独生活,并发病和住院有关;很大一部分人缺乏知识,并且不安全地练习.
结论:
- 在印度的老年人中,多药和自我治疗的比例很高.
- 知识上的差距和不安全的做法强调,迫切需要有针对性的干预措施,以提高这一群体的药物安全性.
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