Intervención educativa sobre polifarmacia y deprescripción en población adulta mayor de Colombia

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-06-04 DOI:10.1016/j.regg.2025.101681

Jorge A. Sánchez-Duque , Hoover Molano-Dorado , Diana M. Martínez-Cerón , Claudia Giraldo-Giraldo , Andrés Gaviria-Mendoza , Manuel E. Machado-Duque , Luis F. Valladales-Restrepo , Jorge E. Machado-Alba

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Abstract

Background and objective

Polypharmacy in older adults is a common condition associated with negative clinical outcomes. The objective was to evaluate the impact of an educational intervention on polypharmacy and deprescribing.

Materials and methods

A prospective study, with measurement before and after an educational intervention, without control. Outpatient physicians (prescribers) were included, who participated in a workshop (virtual intervention, July 2021) and completed informed consent. The intervention had four modules based on audiovisual content, theoretical material and a graded test. A questionnaire on knowledge, attitudes and practices (KAP) on polypharmacy was applied before and after finishing the workshop. Once the prescribers were identified, their prescriptions to patients between 60-100 years old were analyzed, during the second half of 2021.

Results

Of 121 physicians, 75 (61.98%) passed the workshop and were included (average age: 38 .91 ± 11 years; 72.00% women). The KAP presented a Cronbach's alpha of 0.91 and 84% explanation in three dimensions by factor analysis. A significant improvement was obtained in 7/7 knowledge items (P < .01) and 4/7 practice items (P < .03). Prescriptions from 19,442 patients were included (mean age: 71.32 ± 8.3 years; 61.95% women). The prevalence of polypharmacy was 33.77% at the beginning and 32.11% at the end of the study. Monitoring of the prescription month by month presented a significant variation (P < .01).

Conclusions

Knowledge and practices of the prescribers were improved, likewise, the level of polypharmacy in geriatric patients was slightly reduced.

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哥伦比亚老年人多药和抑郁教育干预

背景与目的老年人多药是一种与不良临床结果相关的常见病。目的是评估教育干预对多药和处方化的影响。材料与方法一项前瞻性研究，在教育干预前后进行测量，无控制。包括门诊医生（开处方者），他们参加了研讨会（虚拟干预，2021年7月）并填写了知情同意书。干预有四个模块，基于视听内容、理论材料和分级测试。在研讨会结束前和结束后分别进行了对多药知识、态度和实践的问卷调查。一旦确定了处方者，在2021年下半年，他们对60-100岁患者的处方进行了分析。结果121名医师中，75名（61.98%）通过研修班并被纳入(平均年龄：38.91±11岁；72.00%的女性)。通过因子分析，KAP的Cronbach's alpha值为0.91，在三个维度上的解释率为84%。在7/7个知识项目(P <；.01)和4/7个练习项目(P <；03)。纳入19442例患者的处方(平均年龄：71.32±8.3岁；61.95%的女性)。研究开始时和结束时，多药使用率分别为33.77%和32.11%。每月监测处方出现显著变化(P <；. 01)。结论处方医师的知识和实践水平有所提高，老年患者的综合用药水平略有下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.