老年人超说明书用药情况调查.pdf

老年人超说明书用药情况调查 谷宏伟，马满玲+，杨丽杰，董慧贤 [摘要]目的调查老年患者超说明书用药情况，为老年人超说明书用药管理研究提供理论数据基础。 方法采用问卷调查的方式了解临床医护人员对老年人超说明书用药的认知程度。采用回顾性分析的方法，随 机抽取某院2013年住院处老年病科60岁以上的患有心血管疾病的老年病例，分析超说明书用药的情况。结果 共抽取病例137例，用药医嘱1 007条。结论某院心血管病老年患者存在一定比例的超说明书用药情况。 为了避免由于用药不合理造成的医疗损失，降低老年人的用药风险，需要医院相关职能部门和临床科室共同努 力，提高老年人用药的合理性。 [关键词]超说明书用药；老年患者；用药风险 onoff-label useinold GU Study drug patientsHong—wei，MAMan—ling+，YANG Li-jie，DONG FirstAffiliated ofHarbinMedical Hui—xian(The Hospital University，Harbin150001，China) To the off-labelusein thetheoreticalbasisand [Abstract]Objectiveinvestigate drug eldelypatients，provide data for theresearchonoff-labelusein Theawarenessofcliniciansforthe support elderlypatients．Methods super medicationinstructionsof wasunderstood random wasconductedtOselect elderlypatients byquestionnaire．The sample the withcardiovasculardiseaseswhosewasover60 oldin in201 thesituation elderlypatients age years geriatrics3，and ofthe Was The off-label total137caseswere 1 007 drugprescriptionanalyzed．Results selected，andprescriptions were The medicationiscommonin of cardiovascu·- analyzed．Conclusionsuper--instructions elderlypatientsgeriatrics lar inour ordertoavoidthelossthatduetoirrationaluseandreducetheriskofmedica- hospitalizationhospital．In drug tionin and and in