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題名:社區老年人用藥安全之檢測與評估
書刊名:康大學報
作者:陳秀珍蔡秋帆趙恩
作者(外文):Chen, Shiu-jenTsai, Chiu-fanChao, En
出版日期:2019
卷期:9
頁次:頁1-11
主題關鍵詞:用藥安全安湖社區老年人Drug safetyAnhu DistrictSeniors
原始連結:連回原系統網址new window
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我國65歲老年人口在2018年4月已達高齡國家(Aged country),如此快速的老化不僅帶來前所未有的挑戰,也指出老年醫療藥護相關研究的重要性。據統計老年人平均用藥量約是青年人的5倍以上,由於老人的慢性疾病較多、因多重疾病而不只看一位醫師、不只一處看病、自行購藥服用等行為而使得醫療人員無法適當且完整的評估病人同時服用的所有藥物,加上老化造成生理功能退化、較多慢性疾病、影響服藥順從性等,在在都增加了老人用藥的複雜性及危險性,顯示用藥安全是個極為重要的課題。因此,本行動研究目的是內湖區安湖社區里民銀髮族舉辦健康促進暨用藥安全講座並為銀髮族進行用藥安全之檢測與評估,以瞭解社區老年人用藥安全情形。結果顯示安湖社區老年人用藥安全之參與檢測共99位,經由用藥安全講座前和講座後之評估結果:一、用藥安全等期的老年人自5.05%增加到13.13%。二、5分以上有危險用藥情形改善自69.70%下降到26.26%。三、整體民眾對於活動感到滿意達95%。透過此研究提供醫療照護人員應該定期檢視老年病人用藥目的、治療效果以及持續治療的必要性,透過實際行動走入社區進行用藥安全之健康識能與老人用藥安全之檢測,維護老年人用藥安全。
In Taiwan 65-year-old population has reached the aged country in April 2018. Such rapid aging not only brings up unprecedented challenges, but also points to the importance of research on medical care for the elderly. According to statistics, the drug average dosage of the elderly is about 5 times higher than that of young people. Because the elderly have more chronic diseases, they need to see many doctors and in different medical institutions, sometimes they take drugs on their own, and so on. Appropriate and complete evaluation of all drugs taken by patients at the same time, together with aging caused by physiological deterioration, more chronic diseases, affecting medication compliance, etc., have increased the complexity and risk of medication for the elderly, indicating that medication safety is extremely important topic. The main purpose of this activity study is to conduct lectures on health promotion and drug safety in the Yinmin community of the Anhu community in Neihu District, Taipei, Taiwan and to evaluate drug safety for the elderly. The results showed that a total of 99 elderly people in the Anhu community were educated for drug safety. 1. The number of the elderly with safe drug use increased from 5.05% to 13.13%. 2. The improvement in dangerous drug use of 5 points or more decreased from 69.70% to 26.26%. 3. Overall, the elderly were satisfied with 95% of this activity. This study provided medical staffs should be more cautious in the consideration of drug treatment, regularly reviewing the purpose of the elderly patients, the effect of treatment and the need for continuous treatment. In addition, they need to enter the community through practical actions for the health of medication safety with the safety of elderly medication, together with monitoring the safety of the elderly medication.
期刊論文
1.Chan, D. C.、Hao, Y. T.、Wu, S. C.(2009)。Characteristics of outpatient prescriptions for frail Taiwanese elders with long-term care needs。Pharmacoepidemiology and Drug Safety,18(4),327-334。  new window
2.行政院經濟建設委員會人力規劃處(20131000)。全球人口老化之現況與趨勢。臺灣經濟論衡,11(10),27-34。  延伸查詢new window
3.吳佳蓉、陳清惠、葉忍莉(20020600)。老年患者服藥行為影響因素的探討。長庚護理,13(2)=38,166-174。new window  延伸查詢new window
4.Beers, M. H.、Fink, A.、Beck, J. C.(1991)。Screening recommendations for the elderly。American Journal of Public Health,81(9),1131-1140。  new window
5.杜彗寧、張家銘、周玟觀、葉鳳英(20170200)。老年人之用藥問題。臺灣老年醫學暨老年學雜誌,12(1),1-19。  延伸查詢new window
6.吳玉琴、周玟觀(2009)。老年人用藥安全性之評估。成醫藥誌,19,1-5。  延伸查詢new window
7.Fick, D.(2012)。American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults。Journal of the American Geriatrics Society,60(4),616-631。  new window
8.Lemmer, J. T.、Hurlbut, D. E.、Martel, G. F.、Tracy, B. L.、Ivey, F. M.、Metter, E. J.(2000)。Age and gender responses to strength training and detraining。Medicine Science Sports Exercise,32(8),1505-1512。  new window
9.Bean, J. F.、Vora, A.、Frontera, W. R.(2004)。Benefits of exercise for community-dwelling older adults。Archives of physical medicine and rehabilitation,85(7 Suppl. 3),S31-S44。  new window
圖書
1.Alldredge, Brian K.(2013)。Applied Therapeutics: The Clinical Use of Drugs。Lippincott Williams & Wilkins。  new window
其他
1.行政院衛生署國民健康局(2012)。用藥安全三「五」原則,http://health99.doh.gov.tw/Article/ArticleDetail.aspx?TopIcNo=734&DS=1-life。  延伸查詢new window
2.中華民國106年老人狀況調查報告,file:///G:/000-%E7%A0%94%E7%BF%92/2018/5-1%E8%AA%BF%E6%9F%A5%E5%A0%B1%E5%91%8A-106%E5%B9%B4%E8%80%81%E4%BA%BA%E7%8B%80%E6%B3%81%E8%AA%BF%E6%9F%A5.pdf。  new window
3.行政院衛生署國民健康局(2009)。老人健康促進計畫 (2009-2012),臺北:行政院衛生署國民健康局。,https://ssur.cc/HnzvNuz,(https://ssur.cc/HnzvNuz)。  延伸查詢new window
圖書論文
1.Baltes, Paul B.、Baltes, Margret M.(1990)。Psychological perspectives on successful aging: the model of selective optimization with compensation。Successful aging: Perspectives from the behavioral sciences。Cambridge University Press。  new window
 
 
 
 
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