頁籤選單縮合
題 名 | 老年人潛在性不適當用藥準則=Criteria for Potentially Inappropriate Medication Use in Older Adults |
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作 者 | 黃馨瑩; 黃宗賢; 王慧瑜; 林双金; | 書刊名 | 藥學雜誌 |
卷 期 | 29:3=116 2013.09[民102.09] |
頁 次 | 頁25-29 |
分類號 | 418.1 |
關鍵詞 | 老年人; 多重用藥; 潛在性不適當用藥; Beers criteria; |
語 文 | 中文(Chinese) |
中文摘要 | 老年人因罹患多種慢性病,需長期使用多種藥物,因而有多重用藥 (polypharmacy) 的嚴重情形發生。另由於自然之老化及各大小健康問題,造成身心功能的衰退,故較年輕人有較多的用藥不良反應、交互作用、不當用藥 (使用沒有效果的藥物或所使用之藥物風險過高) 或不必要用藥 (使用無適應症或無效的藥物、重複用藥) 發生。2012年美國老年醫學會最新改版的 Beers Criteria,提供了一份臨床醫療人員關注老年人不適當處方與多重用藥的指引。期待將其實際應用於臨床照顧上,來進一步證實其臨床效益。 |
英文摘要 | Older adults use higher numbers of medications compared with younger age groups, primarily because of increased numbers of co-morbid conditions and greater numbers of physicians involved in their care, putting them at higher risk of polypharmacy. Medication management is of utmost significance in older adults because of changes in body composition, physical function, social environment, and limiting finances with increasing age. Many medications may result in an adverse drug reaction, interactions, inappropriate prescribing (under- or overuse of medications, drug duplication). Optimizing prescribing by reducing polypharmacy and avoiding inappropriate medications is a highly individualized process for each patient, and clinicians will have to use extensive clinical judgment and the updated 2012 AGS Beers Criteria for older adults. |
本系統中英文摘要資訊取自各篇刊載內容。