文章摘要
高龄离休老干部多重用药现状及影响因素分析
Analysis on current situation and influencing factors of multiple medication in elderly retired cadres
投稿时间:2022-05-31  
DOI:10.3969/j.issn.1000-0399.2023.08.021
中文关键词: 高龄离休老干部  多重用药  共病  影响因素
英文关键词: Retired elderly cadres  Multiple medication  Comorbidity  Influencing factor
基金项目:空军后勤面上项目保健专项(编号:2021KYBJ01)
作者单位E-mail
谢柏梅 710054 陕西西安 空军第九八六医院老年病科  
张琳静 710054 陕西西安 空军第九八六医院药剂科 bmblsz123@sina.com 
路晓艳 710054 陕西西安 空军第九八六医院老年病科  
刘晓海 710054 陕西西安 省军区第十四干休所  
谭小田 710054 陕西西安 空军第九八六医院老年病科  
孙彩虹 710054 陕西西安 空军第九八六医院信息科  
郭丽 710054 陕西西安 空军第九八六医院老年病科  
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中文摘要:
      目的 探讨高龄离休老干部多重用药现状及其影响因素。方法 回顾性收集并分析2019年12月至2021年12月空军第九八六医院保障的226例军队高龄老干部相关资料,根据其使用药物的数量分组:非多重用药(2~4种药物)组、多重用药(5种药物及以上)组。收集研究对象临床资料,采用logistic回归模型分析离退休老干部多重用药的影响因素,采用Excel软件建立数据库,筛选出使用排名靠前的十大常用药物类别;采用Lexicomp Drug Interactions数据库对药物-药物相互作用(DDIs)进行分析和评价。结果 logistic回归模型结果显示,文化程度(OR=1.783,P=0.012)、慢性病共病(OR=7.546,P<0.001)、用药依从性差(OR=6.430,P< 0.001)、有用药不良反应(OR=1.904,P=0.003)是离退休老干部多重用药的危险因素。高龄离休老干部DDIs发生频次最高的依次为降压药、心血管系统用药、抗凝药物和抗骨质疏松药物。结论 高龄离休老干部多重用药比例较高,文化程度、慢性病共病、用药依从性、用药不良反应是其多重用药的影响因素,临床应指导其有效地进行个体化用药。
英文摘要:
      Objective To explore the current situation and influencing factors of multiple drug use in elderly retired cadres. Methods Retrospective collection and analysis were carried out on 226 elderly military cadres supported by the 986 Air Force Hospital from December 2019 to December 2021. They were divided into non multi drug group(2~4 drugs), multi drug group (5 drugs or more) according to the number of drugs they used. The clinical data of the subjects were collected, the influencing factors of multiple medication among retired cadres were analyzedwith logistic regression model, a database was established with Excel software, and the top ten commonly used drug categorieswere screened out. Lexicomp Drug Interactions database was used to analyze and evaluate drug drug interactions (DDIs). Results Logistic regression model analysis results showed that educational level (OR=1.783,P=0.012), chronic comorbidity (OR=7.546, P<0.001), medication compliance (OR=6.430, P<0.001), adverse drug reactions (OR=1.904, P =0.003) were the influencing factors of multiple medication among retired cadres. The most frequent occurrence of DDIs was antihypertensive drugs, cardiovascular system drugs, anticoagulant drugs and antiosteoporosis drugs in sequence. Conclusions The proportion of multiple medication among elderly retired cadres is relatively high. Among them, education level, chronic disease comorbidity, medication compliance, and adverse drug reactions are the influencing factors of multiple drug use among retired cadres, so they should be guidedtoconductindividualized drug usein clinics.
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