社区空巢与非空巢老年高血压患者用药现况分析
投稿时间:2021-10-21  修订日期:2021-12-27  点此下载全文
引用本文:李艳,陈淑琴,沈美,袁泱,黄蛟灵,孙婉璟,沈嘉晖.社区空巢与非空巢老年高血压患者用药现况分析[J].药学实践杂志,2022,40(2):184~187
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作者单位E-mail
李艳 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081  
陈淑琴 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081  
沈美 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081  
袁泱 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081  
黄蛟灵 上海交通大学医学院公共卫生学院, 上海200025  
孙婉璟 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081  
沈嘉晖 上海市虹口区欧阳路街道社区卫生服务中心药剂科, 上海200081 shenflyfly@sohu.com 
基金项目:上海市虹口区卫健委面上项目(虹卫1902-31);上海市虹口区卫健委青年项目(虹卫2003-16);国家自然科学基金(71904145)
中文摘要:目的 探讨社区老年高血压患者,尤其是空巢老年患者对社区药学服务的需要。方法 选取欧阳街道在住老年高血压患者,采用整群随机抽样的方法分为空巢和非空巢两组。对被调查者的基本情况、高血压监测频率、在服高血压药物、在服其他药物进行比较和分析。结果 在“血压监测频率”项上,空巢组每天测压占33.6%、非空巢组每天测压占19.3%,两组患者差异显著(P<0.05);在“服用高血压药物品种”项上,同时服用3种高血压药物的,空巢组占28.8%、非空巢组占16.7%,两组患者差异显著(P<0.05);在“服用总药物品种”项上,同时服用中成药1~2种,空巢组占39.6%、非空巢占26.0%,两组患者差异显著(P<0.05)。结论 社区老年高血压患者,尤其是空巢老年患者对社区药学服务存在迫切需求,社区药学服务人员应对老年患者特别是空巢老年患者进行个性化、针对性的用药宣教和指导,促进老年患者的合理用药。
中文关键词:老龄化  空巢老人  非空巢老人  社区药学服务
 
Analysis of drug use in community empty-nest and non-empty-nest elderly hypertension patients
Abstract:Objective To explore the needs of community pharmacy services in elderly hypertensive patients in the community, especially empty-nest elderly patients. Methods Elderly hypertensive patients living in Ouyang street were randomly selected and divided into empty-nest and non-empty-nest groups by cluster random sampling method. The basic information of the respondents, the frequency of hypertension monitoring, the taking of hypertensive drugs, and the taking of other drugs were compared and analyzed. Results In term of “blood pressure monitoring frequency”, the daily pressure measurement of the empty-nest group and the non-empty-nest group accounted for 33.6% and 19.3%, respectively. There was significant difference between the two groups (P<0.05).In term of “the varieties of hypertension drugs” and taking 3 kinds of hypertension drugs at the same times, the empty-nest group accounted for 28.8% and the non-empty-nest group accounted for 16.7%, and the difference between the two groups was significant (P<0.05);In term of “the varieties of drugs” and taking 1-2 kinds of Chinese patent drugs at the same time, the empty-nest group accounted for 39.6% and the non-empty-nest group accounted for 26.0% , and the difference between the two groups was significant (P<0.05)。Conclusion Community elderly patients with hypertension, especially empty-nest elderly patients have an urgent need for community pharmacy services,Community pharmacy services personnel should provide personalized and targeted medication education and guidance to elderly patients, especially empty-nest elderly patients, to promote the rational drug use in elderly patients.
keywords:aging  empty-nest elderly  non-empty-nest elderly  community pharmacy service
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