عنوان

بررسی شیوع تجویز داروهای بالقوه نامناسب و عوامل مرتبط با آن در سالمندان مراجعه کننده به داروخانه های شهر تهران در سال۱۳۹۶

Text of Note

Introduction: Elderly people who are the largest healthcare providers and physicians may have adverse drug reactions. Additionally, inappropriate administration of the drug has the greatest negative impact on the health of vulnerable elderly people. Elderly people may be due to their age or related problems. With the illness, multiple disabilities and physical condition, they have undesirable effects due to the inappropriate administration of drugs. In order to solve this problem and to reduce the incidence of complications of the use of drugs in the elderly, recognizing the condition of prescribing inappropriate drugs is essential. The purpose of this study was to investigate the prevalence of inappropriate drug use among elderly patients referred to pharmacies in Tehran using the 2012 Surveyor and the identification of its related factors. Method: In this cross-sectional study, 1591 elderly patients were selected randomly from Tehran pharmacies in Tehran. A demographic questionnaire and Survey 2012 questionnaire were used to collect data. A cluster random sampling was conducted among the pharmacies underwent three medical universities in Tehran, Shahid Beheshti and Iran. The relationship between inappropriate drug prescriptions and independent variables was analyzed using Chi-square, Independent T test and finally, the factors related to using the logistic regression model were analyzed by SPSS 21 software. A significant level of P0.05 was considered. . Results: A total of 1591 elderly patients with an average age of 70.51 7.84 were studied. Elderly women (54.1 ) and males were male (45.9 ). In 413 copies of the 1951 version of the review, inappropriate drug administration was observed (prevalence of inappropriate drug administration = 26 ). Diclofenac Sodium (13.5 ), Alprazolam (9.3 ), Chlordiazepoxide (9.1 ) ,Clonazepam (8.4 )and Spirnolacton (7.1 ) were the most potentially inappropriate drugs that were prescribed. The most commonly used medication groups were pain medications (37.6 ),central nervous system medications (35.3 ) and, and cardiovascular drugs (19.1 ). Related factors for the administration of potentially inappropriate drugs were polypharmacy, at least one chronic illness and insomnia. Also, the study The present study showed that the administration of inappropriate drugs was significantly higher in general practitioners than in specialized physicians and internal specialists were significantly less than other doctors Expertise, inappropriate drugs were prescribed. (OR = 0.59, 95 CI, P = 0.009 <0.05) Also, the administration of inappropriate drugs among orthopedic surgeons was significantly more than other physicians. (OR = 3.23, 95 CI, 0.05