城市老年人群用药差错及其与影响用药差错因素的关系

Rashid Iqbal, Ratan Kumar, R. Barnwal
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引用次数: 0

摘要

自从我们开始使用药物以来,药物错误一直是一个令人担忧的问题。这些错误的频率受到许多因素的影响,其中很少是非常明显的,很少是令人惊讶的。考虑到这一点,本研究是在城市地区的老年人口中设计和开展的。我们试图评估影响老年人群用药错误的各种因素的作用。主要目的是估计用药错误的频率。次要目的是了解与用药差错相关的不同因素之间的关系。这是一项横断面研究,旨在估计居住在城市地区的250名老年年龄组(年龄大于65岁)患者的用药错误频率和与用药错误相关的因素。为此,准备了一份调查问卷,其中有与人口统计细节相关的问题,很少有问题侧重于了解可能影响用药错误的因素。这些因素都被考虑在之前的研究中,这些研究是关于用药错误的。研究发现,超过80%的患者认为药物错误只是那些他们使用药物而不是处方给他们的事件,因此患者被适当地解释了什么是药物错误,例如,他们被告知,即使他们在错误的剂量,频率或持续时间下服用了正确的药物,它也会导致药物错误,在此之后,他们开始回忆当他们面临这些错误时的事件。他们的回答被输入到这些问卷/病例记录表格中,然后对其进行分析。数据在MS excel中输入,并使用Epi Info软件进行分析。定量变量以频率分析。采用卡方检验分析变量间的相关性。P值<0.05为显著性差异。用药错误发生率为53%,且用药数量较多、慢性疾病较多的患者用药错误发生率较高,而学历较高、年龄较低、有医生或药师讲解用药的患者用药错误发生率较低。令人惊讶的是,在那些能够根据自己的健康状况识别药物的患者中,这种情况发生的频率很低。结论:用药差错是老年患者常见的健康问题,其发生率受多种因素影响。如果这些因素得到妥善处理,将对与这一问题有关的发病率和死亡率产生相当大的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medication error in geriatric population of an urban area and its relation with different factors influencing medication error
Medication errors have been a matter of concern since the time we started using medicines. The frequency of these errors is influenced by a number of factors few of them were pretty obvious and few surprising. Keeping this in mind this research was designed and carried out in geriatric population of an urban area. We tried to evaluate the role of various factors which influence medication error in geriatric population.1-Primary objective was to estimate the frequency of medication error. 2-Secondary objective was to find out relation of different factors related to medication error. This is a cross sectional study which aims to estimate the frequency of medication error in 250 patients of geriatric age group (Age More Than 65 Years) residing in an urban area and factors related to medication error For this a questionnaire was prepared which had questions related to demographic details and few questions focused on knowing the factors that could have an influence on medication error. These factors were taken into consideration as per the previous studies which were done on medication error.It was found that more than 80% of patients thought that medication errors are only those incidents where they use a medication other than what was prescribed to them hence Patients were properly explained what medication error actually is e.g. they were told that even if they take the correct mediation in wrong dose, frequency or duration it accounts for medication error and after this they started recalling incidents when they have faced these errors. There responses were entered into these questionnaire/case record forms which were later analysed.The data was entered in MS excel and analysed using Epi Info software. The quantitative variables were analysed as frequency. Association between variables was analysed using chi square test. P value <0.05 was considered as significant .The incidence of medication error was found to be 53% and its frequency was higher in patients with greater number of medications, increasing number of chronic health conditions , while it was lower in patients with higher educational status ,those belonging to lower age groups and if doctor or pharmacist explained the medications to them. surprisingly its frequency was low in patients who could just identify their medication with their health condition. It was concluded that medication errors are common health related issue in patients of geriatric age group and a number of factors can influence its incidence. If these factors are properly addressed it will have a considerable impact on the morbidity and mortality associated with this problem.
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