改变用药意愿与增加跌倒风险相关：年龄组间的比较。
Willingness to Change Medications Linked to Increased Fall Risk: A Comparison between Age Groups.
机构信息
Totally Joined for Achieving Collaborative Techniques (TJFACT). Pharmacist Consultant Contractor to the Division of Unintentional Injury Prevention, National Center of Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Oak Ridge Associated Universities (ORAU). Fellow for the Division of Unintentional Injury Prevention, National Center of Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
出版信息
J Am Geriatr Soc. 2019 Mar;67(3):527-533. doi: 10.1111/jgs.15696. Epub 2018 Dec 13.
OBJECTIVE
To describe and compare two age groups' knowledge of medications linked to falls and willingness to change these medications to reduce their fall risk.
METHOD
We analyzed data from community-dwelling adults age 55 and older (n = 1812): 855 adults aged 55 to 64 years and 957 older adults (65 and older) who participated in the 2016 summer wave of the ConsumerStyles survey, an annual Web-based survey. The data are weighted to match the US Current Population Survey proportions on nine US Census Bureau demographic characteristics.
MEASUREMENTS
Survey respondents were asked about medication use, knowledge of side effects, their willingness to change their medications to reduce fall risk, communication in the previous year about fall risk with their healthcare provider, and their comfort in discussing fall risk with their healthcare provider. All data were weighted to match the 2016 population estimates. Descriptive statistics and χ (p ≤ .05) were used to identify differences between the two age groups.
RESULTS
About one-fifth of all respondents reported using at least one class of medication that increases fall risk. Older adults were less likely to report using medications for mood or sadness, less likely to report knowing the side effects of pain medications, and more willing to change their sleep medications compared with their younger counterparts. Among all respondents using these medication classes, less than one-third knew the potential fall-related side effects. However, most of them expressed willingness to change their medication if advised by their healthcare provider.
CONCLUSION
Most older adults were unaware of potential fall risks associated with medications prescribed to address pain, difficulty sleeping, mood or sadness, and anxiety- or nervousness-related health issues. However, most were willing to change their medication if recommended by a healthcare provider. J Am Geriatr Soc 67:527-533, 2019.
目的
描述和比较两个年龄段与跌倒相关的药物知识，并比较他们改变这些药物以降低跌倒风险的意愿。
方法
我们分析了参加 2016 年夏季消费者风格调查（ConsumerStyles survey）的年龄在 55 岁及以上的社区居住成年人的数据：1812 名年龄在 55 至 64 岁的成年人和 957 名老年人（65 岁及以上）。这些数据经过加权处理，以匹配美国当前人口调查（US Current Population Survey）九个美国人口普查局人口特征的比例。
测量方法
调查对象被问及用药情况、药物副作用知识、愿意改变用药以降低跌倒风险的意愿、过去一年与医疗保健提供者就跌倒风险进行的沟通情况，以及与医疗保健提供者讨论跌倒风险的舒适度。所有数据均经过加权处理，以匹配 2016 年的人口估计值。使用描述性统计和 χ 检验（p ≤.05）来确定两个年龄组之间的差异。
结果
大约五分之一的受访者报告至少使用了一种增加跌倒风险的药物。与年轻成年人相比，老年人使用情绪或悲伤类药物的可能性较低，了解止痛药副作用的可能性较低，更愿意改变睡眠药物。在所有使用这些药物类别的受访者中，不到三分之一的人知道潜在的与跌倒相关的副作用。然而，他们中的大多数人表示，如果医疗保健提供者建议，他们愿意改变用药。
结论
大多数老年人不知道治疗疼痛、睡眠困难、情绪或悲伤、焦虑或紧张相关健康问题的药物与跌倒风险之间的潜在关联。然而，如果医疗保健提供者建议，他们大多愿意改变用药。
美国老年学会杂志 67:527-533, 2019.
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