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老年人的多重用药问题。

Polypharmacy in Older Adults.

作者信息

Alpert Patricia T, Gatlin Tricia

机构信息

Patricia T. Alpert, DrPH, MSN, APRN, FNP-BC, CNE, FAANP, is the founding Dean at Arizona College, Las Vegas Campus, Las Vegas, Nevada. Tricia Gatlin, PhD, RN, is an Assistant Professor, School of Nursing, University of Nevada Las Vegas, Las Vegas, Nevada.

出版信息

Home Healthc Now. 2015 Nov-Dec;33(10):524-9; quiz 530-1. doi: 10.1097/NHH.0000000000000299.

DOI:10.1097/NHH.0000000000000299
PMID:26529442
Abstract

Polypharmacy, by definition, is the concurrent use of several different medications consumed by a person. Often these multiple medications are in the same class and are used to treat more than one chronic condition. Older individuals are often faced with issues of polypharmacy due to multiple chronic conditions and multiple providers. The risks associated with polypharmacy can lead to increased adverse effects, falls, and decreased risk of medication compliance. This paper will discuss the issues surrounding polypharmacy and provide a case example to illustrate the significance of this problem.

摘要

从定义上讲,多重用药是指一个人同时使用几种不同的药物。通常这些多种药物属于同一类别,用于治疗不止一种慢性疾病。由于患有多种慢性疾病且有多个医疗服务提供者,老年人常常面临多重用药问题。与多重用药相关的风险可能会导致不良反应增加、跌倒以及药物依从性降低。本文将讨论围绕多重用药的问题,并提供一个案例来说明这个问题的重要性。

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Consistency between anticholinergic burden scales in the elderly with fractures.骨折老年患者中抗胆碱能负担量表的一致性。
PLoS One. 2020 Feb 24;15(2):e0228532. doi: 10.1371/journal.pone.0228532. eCollection 2020.
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"At 80 I Know Myself": Embodied Learning and Older Adults' Experiences of Polypharmacy and Perceptions of Deprescribing.
“八十岁时我认识了自己”:身体化学习与老年人的多重用药经历及减药认知
Gerontol Geriatr Med. 2019 Dec 20;5:2333721419895617. doi: 10.1177/2333721419895617. eCollection 2019 Jan-Dec.