- 期刊
醫院型家庭責任醫師制度中訪視病人鎮靜安眠藥之使用
Use of Sedatives among Patients in the Hospital-based Accountable Family Physicians System
摘要
老年人口佔率增加是台灣未來趨勢，對於鎮靜安眠藥，許多文獻皆指出其使用的風險。為能切實了解用藥情形，此次以團隊深入病人居家住所，藉實地訪視及諮詢，了解用藥環境與行為，現場評估問題並協助解決。結果發現鎮靜安眠藥使用量短效型多於長效型，整體使用率以短效型lorazepam最多，其次為短效型alprazolam，長效型clonazepam為第三；所發現問題在服用鎮靜安眠藥病患中，對疾病與就醫知識認知不足最多，與鎮靜安眠藥相關問題包括依賴、互換鎮靜安眠藥服用等；對藥物使用認知不足佔第二，包括維他命與藥物之交互作用等。此次也發現服用鎮靜安眠藥之獨居老人與跌倒風險可能有相關。盼能將所得經驗與醫療人員分享。
並列摘要
The expansion of elderly population is a future trend in Taiwan and researchers have pointed out the risks of sedatives use in the population. To conscientiously understand the drug related problems of elderly patients, the hospital team visited their homes and tried to identify the barriers, and discuss the best possible solutions with the patients. The results showed that more short-acting sedatives were used over long-acting sedatives. And the top three most frequent used sedatives were lorazepam, alprazolam, and clonazepam in rank order. The main drug related problems associated with sedatives use in elderly were poor insight of the disease, followed by addiction, and drugs sharing. The lack of knowledge in correct drug usage such as common drug-vitamin interaction, was the second major problem. In addition, elderly people who lived alone might be at higher risk of fall injury because of sedatives use. We wish to share our findings with other medical staff to assist appropriate sedatives use in senior patients.