上海某社区老年人用药依从性及影响因素分析

摘要

目的：为了解上海市某社区老年人用药依从性及影响因素，以期对保障用药安全、提高治疗效果有所裨益。方法本研究抽取某社区60岁以上的老年人作为调查对象，采用自制用药依从性量表进行评价。结果被调查的300名社区老年人用药依从性积分均值为15.63±2.18分，31.33%的老年人依从性为高。经Logistic回归分析，低龄、受教育水平高、参加城镇职工基本医疗保险、签约家庭医生的用药依从性高，独居老人、患慢性病数量多、服药种类多的用药依从性差。结论社区老年人用药的依从性高低受老年人的基本状况、生理功能、药物、家庭社会支持等多方面因素的影响。因此，若要制定符合老年人用药的个体化方案，并确保治疗效果和用药安全，必须得到医务人员、患者及患者家庭成员等各方面的参与和配合。%Objective To find out the elderly medication compliance and its influencing factors in a community of Shanghai, so as to provide the benefits for ensuring drug safety and improving efficacy. Methods Extracting the survey from the elderly aged 60 years old or older in a community, evaluated them with the homemade scale of medication compliance. Results Among the 300 investigated elderly, the meam score of medication compliance is 15.63 ± 2.18, 31.33% of the elderly showed higher compliance. The elderly who are younger, with higher education and to participate in the basic medical insurance for urban workers, family doctors contracted, medication compliance is higher. While the compliance is lower for the elderly living alone and suffering from multiple chronic diseases, taking many kinds of medication. Conclusion The level of medication compliance of the elderly in community depends on the basic situation of older persons, physiological function, drugs, family and social support cases. So when we develop individualized regimen for elderly patients, ensure therapeutic efficacy and drug safety, it needs to participate and cooperate with the medical staff, patients and their families.