社区老年高血压患者用药安全现状及影响因素研究

社区老年高血压患者用药安全现状及影响因素研究摘要：

目的：研究社区老年高血压患者用药安全现状，并探讨其影响因素。

方法：对兰州市某社区老年高血压患者进行问卷调查，并采用二分类Logistic回归分析以确定患者用药安全的相关因素。

结果：共有500名社区老年高血压患者参与了调查。结果显示，61.2%的患者存在用药不规范的情况，包括忘记服药、减少或延迟服药等；47.8%的患者存在用药过程中出现不良反应的情况，其中大多数为头痛、胃部不适等轻微不良反应。Logistic回归分析显示，患者的年龄、性别、受教育程度、收入水平、文化程度、自我管理水平、医疗保障情况、药物知识和用药知觉等因素与用药安全存在相关性。

结论：社区老年高血压患者用药存在安全隐患，需加强综合干预和管理，提高患者用药合理性。

关键词：社区老年高血压患者、用药安全、影响因素

Abstract:

Objective:Toinvestigatethemedicationsafetystatusandinfluencingfactorsofelderlyhypertensivepatientsinthecommunity.

Methods:AquestionnairesurveywasconductedonelderlyhypertensivepatientsinacommunityinLanzhou,andbinarylogisticregressionanalysiswasusedtodeterminethefactorsrelatedtomedicationsafety.

Results:Atotalof500elderlyhypertensivepatientsparticipatedinthesurvey.Theresultsshowedthat61.2%ofthepatientshadirregularmedication,includingforgettingtotakemedication,reducingordelayingmedication,etc.;47.8%ofthepatientsexperiencedadversereactionsduringmedication,mostlymildadversereactionssuchasheadacheandstomachdiscomfort.Logisticregressionanalysisshowedthatage,gender,educationlevel,incomelevel,culturallevel,self-managementlevel,medicalsecurity,medicationknowledge,andmedicationperceptionwererelatedtomedicationsafety.

Conclusion:Thereisasafetyhazardinthemedicationofelderlyhypertensivepatientsinthecommunity,andcomprehensiveinterventionandmanagementshouldbestrengthenedtoimprovetherationalityofmedication.

Keywords:elderlyhypertensivepatientsinthecommunity,medicationsafety,influencingfactorsTheelderlyhypertensivepatientsinthecommunityareatahighriskofmedicationsafetyissues.Severalinfluencingfactorscouldcauseerrorsandcomplicationsduringmedicationmanagementinthispopulation.Oneofthesignificantcontributingfactorsisthelimitedhealthliteracyoftheelderlypopulation.Manypatientscannotreadorunderstandmedicationlabels,warnings,andsideeffects.Thisissuecanleadtodosageerrors,missedmedications,ordruginteractions.

Anotherdeterminantfactoristhelow-incomelevelandinadequatemedicalsecurityofmanyelderlypatientsinthecommunity.Thesepatientsmaynothavethemeanstoaccessregularmedicalcheck-ups,medicationfollow-ups,orpurchasenecessarymedications,whichresultinnon-adherenceordiscontinuationofmedications.

Inadditiontothesefactors,culturalandeducationaldifferencesmayaffectmedicationsafety.Forexample,someculturalbeliefsandpracticesmayimpactmedicationadherenceordosagedecisions.Theself-managementlevelofthepatients,suchastheirmedicationknowledge,self-efficacy,andhealthstatus,canalsoimpactmedicationsafety.

Moreover,medicationperceptionsofelderlyhypertensivepatientsinthecommunitycaninfluencetheiradherenceanddecision-makingregardingmedications.Patientsmayholdsomemisconceptions,fears,orinadequateknowledgeaboutmedications,leadingtonon-adherence,inappropriateuse,ormedicationerrors.

Toaddresstheseissues,comprehensiveinterventionandmanagementstrategiesshouldbeimplementedtoimprovemedicationsafetyinelderlyhypertensivepatients.Healthcareprovidersshouldassesseachpatient'smedicationknowledge,healthliteracy,andculturalbackgroundtoenhancepatienteducationandcommunication.Inaddition,medicationmanagementprograms,suchasMedicationTherapyManagement(MTM),canbeutilizedtoensureappropriatemedicationuseandminimizeerrors.Furthermore,regularfollow-ups,feedback,andmedicationremindersshouldbeimplementedtoimproveadherenceandmedicationsafetyinthisvulnerablepopulation.

Inconclusion,medicationsafetyinelderlyhypertensivepatientsinthecommunityisacomplexissuethatrequirescomprehensiveassessmentandmanagementstrategies.Healthcareprovidersshouldconsiderthefactorsinfluencingmedicationsafetyandadoptevidence-basedpracticestoenhancepatienteducation,adherence,andmedicationtherapymanagementInadditiontothefactorsdiscussedabove,healthcareprovidersshouldalsoprioritizecommunicationwiththeirelderlyhypertensivepatientstoensurethattheyfullyunderstandtheirmedicationregimen.Thisincludesexplainingthepurposeofeachmedication,thepotentialsideeffectsandhowtomanagethem,andanyspecialinstructionsfortakingthemedication(e.g.withfoodorataspecifictimeofday).Furthermore,healthcareprovidersshouldroutinelyreviewmedicationregimenstoidentifyanypotentialdrug-druginteractions,duplicationsorotherissuesthatmayimpactmedicationsafety.

Inconclusion,elderlyhypertensivepatientsinthecommunityrequirecarefulmonitoringandmanagementtoensuremedicationsafety.Healthcareprovidersshouldtakeamultidisciplinaryapproachthatconsiderspatienteducation,adherence,medicationtherapymanagementandcommunicationtoprovideappropriatecare.Byidentifyingandmanagingmedication-relatedproblemsinthispopulation,healthcareproviderscanimprovepatientoutcomesandreducetheriskofadverseeventsMoreover,itisvitaltoconsiderthepotentialsideeffectsofhypertensionmedicationsandhowtheymayinteractwithothermedicationsormedicalconditionsthattheelderlyhypertensivepatientmayhave.Carefulmonitoringandmanagementcanhelppreventadverseeventsandpotentiallyavoidhospitalizationsamongelderlypatients.

Inaddition,healthcareprovidersshouldacknowledgetheimportanceofpatienteducationandmedicationadherenceinmanaginghypertension.Patientsshouldbeeducatedontheimportanceoftakingtheirmedicationsasprescribed,aswellasthepotentialsideeffectsandhowtomanagethem.Additionally,healthcareprovidersshouldexploretheuseofmedicationtherapymanagement(MTM)services,whichcanoffercomprehensivemedicationreviewsandindividualizedrecommendationstooptimizedrugtherapyandinformpatientsontheirmedicationregimen.

Communicationamonghealthcareproviders,patientsandcaregiversisequallyimportantinthemanagementofhypertension.Caregivers,whomayplayacriticalroleinmedicationadherenceandoverallcare,shouldbeinvolvedthroughoutthecareprocess.Throughcontinuouscommunication,allpartiescanworktogethertoidentifymedication-relatedproblemsearlyon,promotemedicationsafetyandsupportpatientself-management.

Inconclusion,themanagementofhypertensioninelderlypatientsrequiresacomprehensiveandmultidisciplinaryapproachthatconsiderspatienteducation,adherence,medicationtherapymanagementandcommunication.Byaddressingpotent