Keram S, Williams M E
Department of Medicine, University of North Carolina School of Medicine, Chapel Hill 27599.
J Am Geriatr Soc. 1988 Mar;36(3):198-201. doi: 10.1111/j.1532-5415.1988.tb01800.x.
To compare the difficulty experienced by older persons in using various medication containers, 50 noninstitutionalized women and men over 60 years of age were timed while opening 15 containers. Pill and liquid medication bottles with and without child-resistant closure mechanisms were tested. In addition, other types of medication packaging were evaluated, such as nitroglycerin patches. All subjects could open each of the non-child-resistant containers, though none of the child-resistant containers could be opened by all participants. For child-resistant containers, dramatic differences were observed in the proportion of subjects who could open the various designs and in the amount of time required. Subjects' comments and observations of subjects' efforts provided possible reasons for some of these differences. The results suggest that when child-resistant containers are used, consideration of the type of medication container can significantly reduce inconvenience to older persons. Containers without child-resistant mechanisms provide the best option for elderly people when access by small children is not an issue.
为比较老年人使用各种药物容器的难度，对50名60岁以上未住养老院的男女在打开15种容器时进行了计时。测试了有无儿童安全盖机制的药丸和液体药瓶。此外，还评估了其他类型的药物包装，如硝酸甘油贴片。所有受试者都能打开每种非儿童安全容器，但并非所有参与者都能打开儿童安全容器。对于儿童安全容器，在能够打开各种设计的受试者比例以及所需时间方面观察到了显著差异。受试者的评论和对受试者努力情况的观察为其中一些差异提供了可能的原因。结果表明，当使用儿童安全容器时，考虑药物容器的类型可显著减少给老年人带来的不便。在不存在幼儿接触问题时，无儿童安全机制的容器为老年人提供了最佳选择。
