退伍军人对处方的理解及服药错误——多重用药问题被低估
Comprehension of Prescriptions and Errors in Taking Prescribed Medicines by Veterans - Polypharmacy a Problem Underrated.
作者信息
Singhal Anuj, Yadav Arun Kumar, Subramanian Shankar, Pathak Basant Kumar, Gupta Aakriti, Aggarwal Vivek
机构信息
Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
出版信息
Indian J Community Med. 2021 Jan-Mar;46(1):85-87. doi: 10.4103/ijcm.IJCM_260_20. Epub 2021 Mar 1.
BACKGROUND
Polypharmacy is a significant problem in the elderly. The veteran population is unique in terms of better access to health-care services and higher educational qualifications. However, the studies to assess the burden and effects of polypharmacy in this cohort are rare. Hence, the research was done to find the prevalence of polypharmacy in the veteran population.
METHODS
In this cross-sectional observational study, we included veterans with more than 35 years visiting the medical outpatient department. All participants were interviewed about polypharmacy after taking informed consent.
RESULTS
Out of 394 patients included in the study, 110 were prescribed five or more medicines for their illnesses (27.91%: 95% confidence interval [CI] 21.1%-30%). More than 95% (377/394) of the study participants were unaware of the concept of polypharmacy. There was high compliance to treatment in veterans (97.46%, 95% CI 95.1%-98.6%).
CONCLUSION
This study shows that the prevalence of polypharmacy is significant in veterans, including patients in their fourth and fifth decades of life, despite fewer morbidities.
背景
多重用药是老年人面临的一个重要问题。退伍军人在获得医疗服务和教育程度较高方面具有独特性。然而，评估该群体多重用药负担和影响的研究却很少。因此，开展此项研究以确定退伍军人中多重用药的患病率。
方法
在这项横断面观察性研究中，我们纳入了到门诊就诊超过35年的退伍军人。所有参与者在获得知情同意后接受了关于多重用药的访谈。
结果
在纳入研究的394名患者中，110人因疾病被开具了五种或更多药物（27.91%：95%置信区间[CI] 21.1%-30%）。超过95%（377/394）的研究参与者不了解多重用药的概念。退伍军人对治疗的依从性较高（97.46%，95% CI 95.1%-98.6%）。
结论
这项研究表明，尽管发病率较低，但多重用药在退伍军人中患病率显著，包括四五十岁的患者。
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