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新入住养老院居民定期服用处方药的患病率及预测因素。

Prevalence and predictors of regularly scheduled prescription medications of newly admitted nursing home residents.

作者信息

Renner E A, Engle V F, Graney M J

机构信息

College of Nursing, University of Tennessee, Memphis 38163.

出版信息

J Am Geriatr Soc. 1992 Mar;40(3):232-6. doi: 10.1111/j.1532-5415.1992.tb02074.x.

Abstract

OBJECTIVE

The purpose of this study was to identify the prevalence and predictors of commonly prescribed regularly scheduled medications.

DESIGN

Data were collected on the first day following nursing home admission in this non-experimental study.

SETTING

A stratified, proportional probability sample of eight nursing homes in a large Mid-South city participated in this study.

PARTICIPANTS

A consecutive sample of 574 new and readmitted nursing home residents who did not refuse participation.

INTERVENTIONS

None.

MAIN OUTCOME MEASURE(S): Data were collected on regularly scheduled prescription medications and resident and nursing home characteristics.

RESULTS

Residents without a diagnosis of dementia were more likely to receive cardiovascular medications (Odds Ratio = 2.34; 95% CI = 1.56-3.49), and white residents were more likely to receive cardiovascular medications (Odds Ratio = 1.74; 95% CI = 1.19-2.53) or central nervous system medications (Odds Ratio = 1.72; 95% CI = 1.18-2.51). Older residents were less likely to receive central nervous system medications (Odds Ratio = 0.97 per year; 95% CI = 0.96-0.99), and females were more likely to receive cardiovascular medications (Odds Ratio = 1.89; 95% CI = 1.30-2.75).

CONCLUSIONS

Resident characteristics were the most important predictors for cardiovascular and central nervous system medication prescriptions of new and readmitted nursing home residents.

摘要

目的

本研究旨在确定常用定期处方药的患病率及预测因素。

设计

在这项非实验性研究中,于养老院入院后的第一天收集数据。

地点

中南部一个大城市的八家养老院组成的分层、按比例概率抽样样本参与了本研究。

参与者

574名未拒绝参与的新入住和再次入住养老院的居民连续样本。

干预措施

无。

主要观察指标

收集关于定期处方药以及居民和养老院特征的数据。

结果

未被诊断为痴呆症的居民更有可能接受心血管药物治疗(优势比 = 2.34;95%置信区间 = 1.56 - 3.49),白人居民更有可能接受心血管药物治疗(优势比 = 1.74;95%置信区间 = 1.19 - 2.53)或中枢神经系统药物治疗(优势比 = 1.72;95%置信区间 = 1.18 - 2.51)。年龄较大的居民接受中枢神经系统药物治疗的可能性较小(每年优势比 = 0.97;95%置信区间 = 0.96 - 0.99),女性更有可能接受心血管药物治疗(优势比 = 1.89;95%置信区间 = 1.30 - 2.75)。

结论

居民特征是新入住和再次入住养老院居民心血管和中枢神经系统药物处方最重要的预测因素。

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