Marques Gabrielle Ferreira Melo, Rezende Danielle Mayara Rodrigues Palhão de, Silva Iara Pereira da, Souza Priscila Carolina de, Barbosa Suzi Rosa Miziara, Penha Ramon Moraes, Polisel Camila Guimarães
Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.
Rev Bras Enferm. 2018 Sep-Oct;71(5):2440-2446. doi: 10.1590/0034-7167-2017-0211.
To identify polypharmacy and potentially inappropriate medications (PIM) for elder people with chronic health situations and its implications for gerontological nursing.
Descriptive and transversal study, conducted from March to September 2016 by pharmaceutical residents in the clinic of Endocrinology of a hospital in Mid-West region of Brazil.
44 elder people with an average age of 69.5 (± 6.79) years old had their assessed prescriptions. We identified 65 medications prescribed 253 times, in which 10 PIM (15.4%) were prescribed 51 times. 33 seniors (72.7%) had at least one PIM, of those, 66.7% were polymedicated. Of the total, 22 elder people (50%) were subjected to polypharmacy and made use of at least one PIM.
The results showed high incidence of PIM and polypharmacy, as well as their physiological impacts to the elder population. The study provokes discussions about that the trained nurse in human aging has skills and competencies able to enhance interventions related to pharmacotherapy.
确定患有慢性健康问题的老年人的多重用药情况及潜在不适当用药（PIM），及其对老年护理的影响。
描述性横断面研究，于2016年3月至9月由巴西中西部地区一家医院内分泌科的药学住院医师进行。
对44名平均年龄为69.5（±6.79）岁的老年人的处方进行了评估。我们共识别出65种药物，共开具了253次，其中10种PIM（15.4%）被开具了51次。33名老年人（72.7%）至少有一种PIM，其中66.7%存在多重用药情况。总体而言，22名老年人（50%）存在多重用药情况且使用了至少一种PIM。
结果显示PIM和多重用药的发生率较高，以及它们对老年人群的生理影响。该研究引发了关于老年护理方面受过培训的护士具备能够加强药物治疗相关干预措施的技能和能力的讨论。
