Rathore Aditi, Sharma Rishabh, Bansal Parveen, Chhabra Manik, Arora Malika
Department of Pharmacy Practice, Chitkara College of Pharmacy, Chitkara University, Rajpura, Madhya Pradesh, India.
Department of Pharmacy Practice, Indo-Soviet Friendship College of Pharmacy, Moga, Punjab, India.
J Educ Health Promot. 2023 Jan 31;12:1. doi: 10.4103/jehp.jehp_769_22. eCollection 2023.
Potentially inappropriate medication (PIM) prevalence in older adults is increasing day by day due to lack of knowledge among medical students and professionals.
To determine the knowledge of medical students toward American Geriatric Society (AGS) Beers criteria for PIM prescribing.
This cross-sectional study employed a self-administered questionnaire which was validated and designed to assess the knowledge, attitude, and practice of medical interns and postgraduate residents on Beers criteria for PIMs in older adults. The study was conducted in Faridkot region of Punjab in 2019. This study will utilize a purposive sampling strategy and a convenience sampling of up to 183 participants. Mann-Whitney U or Kruskal-Wallis tests were used to compare different issues as appropriate. values of <0.05 were considered significant.
Out of 183 questionnaires distributed, only 155 participants (response rate 84.6%) had filled the survey and were included in the study. 61.3% ( = 95) of the respondents were males. The mean knowledge score of 155 participants was (5.16 ± 1.56), where the highest score was 9 and the lowest score was 2 out of 10. 15.5% ( = 24) of the participant strongly agreed that Beers criteria use is necessary in clinical setting and would be very helpful. While 22.5% ( = 35) of the participants strongly agreed that PIMs cause adverse drug event (ADE) and drug-related problems (DRPs) in older adults. Age of the participant had a significant effect on the knowledge score ( = 0.009), and participant aged between 31 and 40 years had significantly higher knowledge scores compared with participants falls under 20-30 years.
Medical students and postgraduate residents had average knowledge of PIMs and are unaware of the standard guidelines in older adults such as the Beers criteria. Lack of formal education or training about Beers guidelines was the main reason responsible for average knowledge among participants.
由于医学生和专业人员缺乏相关知识，老年人潜在不适当用药（PIM）的患病率日益上升。
确定医学生对美国老年医学会（AGS）关于PIM处方的Beers标准的了解情况。
本横断面研究采用自行填写的问卷，该问卷经过验证，旨在评估医学实习生和研究生住院医师对老年人PIM的Beers标准的知识、态度和实践情况。该研究于2019年在旁遮普邦的法里德科特地区进行。本研究将采用立意抽样策略和便利抽样，抽取多达183名参与者。根据情况使用曼-惠特尼U检验或克鲁斯卡尔-沃利斯检验来比较不同问题。P值<0.05被认为具有统计学意义。
在分发的183份问卷中，只有155名参与者（回复率84.6%）填写了调查问卷并被纳入研究。61.3%（n = 95）的受访者为男性。155名参与者的平均知识得分是（5.16 ± 1.56），满分10分，最高分为9分，最低分为2分。15.5%（n = 24）的参与者强烈同意在临床环境中使用Beers标准是必要的且会非常有帮助。而22.5%（n = 35）的参与者强烈同意PIM会在老年人中导致药物不良事件（ADE）和药物相关问题（DRP）。参与者的年龄对知识得分有显著影响（P = 0.009），31至40岁的参与者的知识得分显著高于20至30岁的参与者。
医学生和研究生住院医师对PIM的了解处于中等水平，并且不了解老年人的标准指南，如Beers标准。缺乏关于Beers指南的正规教育或培训是参与者知识水平中等的主要原因。
