Wolf-Klein G P, Levy A P, Silverstone F A, Smith H, Papain P, Foley C J
Jewish Institute for Geriatric Care, New Hyde Park, New York.
Int Psychogeriatr. 1989 Fall;1(2):177-84. doi: 10.1017/s1041610289000189.
A pharmacist collected data in an active geriatric outpatient program on 140 patients admitted consecutively over a 1-year period. Compliance was monitored by patient statement, pill counting, and daily written record-keeping of all medications with the help of a pocket diary provided in the program. Weekly pharmacist counseling sessions were then initiated for all patients. After four compliance sessions, two subgroups of patients were identified: 120 compliant patients and 20 patients showing persistent 50% noncompliance. Patients were interviewed by a psychiatrist to develop a profile of the noncompliant patient. This profile may be useful in identifying other noncompliant geriatric patients. Early recognition of this special group of patients in need of directed counseling may help reduce medical misjudgment in prescribing for the frail elderly population.
一位药剂师在一个活跃的老年门诊项目中收集了140名在1年期间连续入院患者的数据。通过患者陈述、清点药片以及借助该项目提供的袖珍日记对所有药物进行每日书面记录来监测依从性。然后为所有患者启动了每周一次的药剂师咨询会议。在进行了四次依从性会议后，确定了两组患者：120名依从性患者和20名持续有50%不依从的患者。一位精神科医生对患者进行了访谈，以勾勒出不依从患者的特征。这一特征可能有助于识别其他不依从的老年患者。尽早识别出这一需要定向咨询的特殊患者群体，可能有助于减少在为体弱老年人群体开处方时的医疗误判。
