在老年护理机构中给老年人的常规药物:一项回顾性描述性研究
Stephanie M Garratt1, Maneesh Prasad1, Kelly Ottosen1
1School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Journal of clinical nursing
|June 16, 2025
概括
多药性在澳大利亚老年护理中很普遍,78%的老年人每天服用8个以上的常规药物. 常见的药物包括止痛药和药,通常由非护理人员在有限的夜间时间内给药.
科学领域:
- 老年学是指老年学的学科.
- 药理学 药理学是指药理学的学科.
- 老年护理医学 老年护理医学
背景情况:
- 在老年护理机构的老年人往往有复杂的健康需求,需要多种药物.
- 多药在这个人群中是一个重大问题,增加了不良事件的风险,并降低了生活质量.
研究的目的:
- 为了确定澳大利亚老年护理机构中老年人最常被处方的药物.
- 为了确定谁在什么时候给予这些药物.
- 评估这个人口群体中多药的流行程度.
主要方法:
- 对2023年3月至2024年3月的非识别药物管理记录的回顾性分析.
- 纳入标准:在研究期间居住在老年护理机构的老年人.
- 使用描述性统计和各种t测试和ANOVA分析的数据.
主要成果:
- 包括来自287个设施的12438名老年人.
- 神经系统和食道/新陈代谢药物是最常见的,其中偏醇和酸盐/酸盐是最常见的.
- 78%的老年人经历过多种药物治疗 (平均每天服用8种常规药物).
- 经过认证的护士管理了66%的药物,在上午10点前和晚上10点后的药物管理达到顶峰.
结论:
- 非阿片类止痛药和药是老年护理中最常见的常规药物.
- 药物管理经常发生在深夜班期间,潜在的员工数量有限.
- 多药房的高流行率 (78%) 需要优化,并在医疗保健提供者和家庭之间进行知情讨论.
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