Saboor Malihe, Momtaz Yadollah Abolfathi, Kamrani Ahmad-Ali Akbari, Sahaf Robab
Iranian Research Centre on Ageing, University of Social Welfare and Rehabilitation Sciences Tehran, Iran.
Iranian Research Centre on Ageing, University of Social Welfare and Rehabilitation Sciences Tehran, Iran, Malaysian Research Institute on Ageing (My Ageing), University Putra Malaysia, Serdang, Selangor, Malaysia.
Med Glas (Zenica). 2019 Feb 1;16(1):115-120. doi: 10.17392/986-19.
Aim To assess prescription pattern among Iranian communitydwelling older adults. Methods This cross-sectional study employed a cluster random sampling to obtain a sample of 1591 patients aged 60 years and over referred to pharmacies in Tehran, 2017. Data were collected using a questionnaire: socio-demographic characteristics, type of pharmacy visited, the municipal district, the university covering the pharmacy, the number and names of prescribed drugs, drug category, type of insurances and physician's socio-demographic profile (age, gender, type of specialization, and work experience). Results The mean age of the patients was 70.51±7.84. A total of 5838 drugs were prescribed, giving an average of 3.73±2.24 drugs per patient (ranging of 1-15). Polypharmacy was noticed in 32.4% patients. Cardiovascular drugs accounted for 20.8% of the prescriptions, antidiabetics 8.8%, nutritional agents and vitamins 7.6%, and analgesics, anti-inflammatory drugs and antipyretics accounted for 7.5%. Conclusion Developing educational programs on geriatric pharmacology general practitioners and more supervision among community-dwelling older adults might have effects on prescription pattern. There is a need for prescriber training and retraining with emphasis on the geriatric population.
目的 评估伊朗社区居住老年人的处方模式。方法 这项横断面研究采用整群随机抽样方法，选取了2017年转诊至德黑兰各药房的1591名60岁及以上患者作为样本。使用问卷收集数据：社会人口学特征、就诊药房类型、市区、覆盖该药房的大学、处方药数量及名称、药物类别、保险类型以及医生的社会人口学资料（年龄、性别、专业类型和工作经验）。结果 患者的平均年龄为70.51±7.84岁。共开出5838种药物，每位患者平均用药3.73±2.24种（范围为1 - 15种）。32.4%的患者存在多重用药情况。心血管药物占处方的20.8%，抗糖尿病药物占8.8%，营养剂和维生素占7.6%，镇痛药、抗炎药和解热药占7.5%。结论 开展针对老年药理学的教育项目以及对社区居住老年人进行更多监督，可能会对处方模式产生影响。需要对开处方者进行培训和再培训，重点关注老年人群体。
