Planton Jonathan, Edlund Barbara J
Medical University of South Carolina, College of Nursing, Charleston, South Carolina 29425, USA.
J Gerontol Nurs. 2010 Jan;36(1):8-12. doi: 10.3928/00989134-20091204-03. Epub 2010 Jan 12.
Polypharmacy is a major concern in the care of older adults. Multiple factors contribute to this problem, and recognizing these factors is an initial step in addressing the problem. Further, identifying those individuals at risk for medication problems, as well as implementing specific strategies in practice to reduce the problem, will enable clinicians to develop safe and evidence-based medication regimens that minimize the risk of adverse drug reactions. The key to treating older adults is not necessarily to find a set number of medications and try to stay below it, but to find the right medication at the right dosage and for the shortest possible duration on a case-by-case basis. This individualized approach to treating patients will provide a much safer and effective means of practicing and will improve patients' quality of life.
多重用药是老年人护理中的一个主要问题。多种因素导致了这个问题，识别这些因素是解决该问题的第一步。此外，识别那些有用药问题风险的个体，并在实践中实施特定策略以减少该问题，将使临床医生能够制定安全且基于证据的用药方案，从而将药物不良反应的风险降至最低。治疗老年人的关键不一定是找到固定数量的药物并试图保持在该数量以下，而是根据具体情况找到合适剂量、最短疗程的正确药物。这种个体化的患者治疗方法将提供一种更安全有效的医疗手段，并将提高患者的生活质量。
