Johnson Maree, Griffiths Rhonda, Piper Margaret, Langdon Rachel
School of Nursing Family and Community Health, College of Social and Health Sciences, University of Western Sydney, Sydney, Australia.
Public Health Nurs. 2005 Jan-Feb;22(1):36-44. doi: 10.1111/j.0737-1209.2005.22106.x.
This study sought to develop and test a set of criteria to distinguish elders at high risk of an untoward medication event within community nursing caseloads. A descriptive correlational design was used to identify relevant risk factors for elders. Data on medication knowledge, regime, management abilities, and adherence were obtained from 111 elders receiving community nursing care. Four predictors--12 or more doses of medications per day, more than one prescriber, caregiver available, and sometimes forgetting to take medications--of complexity (R2 explaining 39% of the variance) and adherence (R2 explaining 49% of the variance) were identified as potential factors that subsequently confirmed a discrete group of high risk elders. The use of these four risk factors or screening criteria is recommended for older people within community nursing caseloads.
本研究旨在制定并测试一套标准，以区分社区护理服务对象中发生不良用药事件风险较高的老年人。采用描述性相关设计来确定老年人的相关风险因素。从111名接受社区护理的老年人中获取了用药知识、用药方案、管理能力和依从性等方面的数据。确定了四个预测因素——每天服用12剂或更多药物、有不止一位开处方者、有护理人员以及有时忘记服药——作为复杂性（R2解释了39%的方差）和依从性（R2解释了49%的方差）的潜在因素，随后证实了一组高危老年人。建议对社区护理服务对象中的老年人使用这四个风险因素或筛查标准。
