Res Gerontol Nurs. 2022 Mar-Apr;15(2):69-75. doi: 10.3928/19404921-20220131-02. Epub 2022 Feb 11.
Older adults self-administer prescribed medication regimens to treat chronic diseases, which can lead to mismanagement, medication-related harm, and hospitalization. Using the National Health and Aging Trends Study (NHATS) dataset, we examined the extent to which the medication source could impact the occurrence of self-reported medication mistakes and hospitalizations in community-dwelling adults aged ≥65 years who managed medications independently ( = 3,899). The majority (65%) picked up medications, 18% had medications delivered, and 17% used both methods. Compared to those picking up their medications, those using delivery only were less likely to have a hospital stay (odds ratio [OR] = 0.61, 95% confidence interval [CI] [0.51, 0.94]) but had no difference in odds of medication mistakes (OR = 1.13, 95% CI [0.57, 2.23]). Those using both methods were more likely to report hospital stays (OR = 1.43, 95% CI [1.11, 1.85]) and medication mistakes (OR = 1.65, 95% CI [1.00, 2.73]). Health care providers should consider medication source when assessing older adults' ability to safely self-manage medications. [(2), 69-75.].
老年人自行管理处方药物治疗慢性病，这可能导致管理不善、药物相关伤害和住院治疗。本研究使用国家健康老龄化趋势研究（NHATS）数据集，调查了在独立管理药物的 65 岁及以上社区居住的成年人中，药物来源对自我报告药物错误和住院的影响程度（n=3899）。大多数（65%）人自行取药，18%的人药物配送，17%的人两种方法都用。与自行取药的人相比，仅使用配送方法的人住院的可能性较低（优势比[OR] = 0.61，95%置信区间[CI] [0.51, 0.94]），但药物错误的几率没有差异（OR = 1.13，95% CI [0.57, 2.23]）。两种方法都用的人更有可能报告住院治疗（OR = 1.43，95% CI [1.11, 1.85]）和药物错误（OR = 1.65，95% CI [1.00, 2.73]）。医疗保健提供者在评估老年人安全自我管理药物的能力时，应考虑药物来源。[(2), 69-75]。
