頁籤選單縮合
題 名 | 提供門診病人家庭藥師藥事服務=Pharmacy Services Provided by Family Pharmacist to Outpatient |
---|---|
作 者 | 吳奕璋; 陳姵婷; 王春玉; | 書刊名 | 藥學雜誌 |
卷 期 | 31:2=123 2015.06[民104.06] |
頁 次 | 頁122-126 |
分類號 | 418.1 |
關鍵詞 | 家庭藥師; 藥品相關問題; 潛在不適當用藥; Family pharmacist; Drug-related problem; Potentially inappropriate medication; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:大多數老人因生理因素、用藥行為,而有許多藥品相關問題,如:藥品交 互作用、副作用、服藥順從性、潛在不適當用藥,這些都是藥師可介入評估的地方, 進而期能提升老人用藥安全。 方法:於民國101年1月至101年12月期間,由藥品諮詢櫃檯招募有意願且符合以 下收納條件:1. 65歲以上老人;2. 使用五種以上藥品;3. 同時看兩位以上醫師的病 人,再由藥師進行訪談,填寫病人同意書,且每次回診皆要至藥局由藥師進行訪談諮 商。第一次藥師諮商時,會針對病人的用藥安全知識進行評量,六個月後再進行一次 後測,藉此比較前後分數,以確立藥師訪視的衛教目標。 結果:研究期間共收納42位老人,訪視過程中共發現68個用藥相關問題,經藥師 介入後,共解決了51個問題;民眾用藥安全知識問卷調查方面:共設計了十道題目, 前測平均69.8分,經藥師介入給予用藥指導,六個月後所測得平均分數為85.3分,進 步了15.5分。 結論:此次研究初步可看出65歲以上老人,存在許多藥品相關問題及錯誤的用藥 觀念,若藥師能適時的介入,可以減少藥品相關問題的發生並建立良好的用藥觀念, 達到最佳的藥品療效並減少不必要的醫療資源。 |
英文摘要 | The ageing population has always been the country's greatest source of economic health burden. The latest statistics from the Department of Heath reports that up to the end of 2009, 10.6% of the current population are 65 years or older. The average annual health care expenditure per person in this age category can be as high as NT$67,720. This expenditure is six times as much as people in the 15-44 year age group, those with the greatest productivity, which averages at NT$11,399. According to the national health insurance scheme, 51.3% of expenses are spent on covering health expenditure for people greater than 50 years old (28.6% of the population was older than 50 years in 2009). Whilst health care expenditure from the ageing population is considerable, pharmacists do not intervene to understand use of medications or how well disease states are controlled when the patient obtains health care. Our 2010 study of the ageing population living alone showed an average of 4.4 types of diseases, the use of 8 types of medications and 1.8 drug related problems per person. This study hopes to provide home medication reviews to all people older than 65 years of age who live alone, to understand and resolve drug related issues. |
本系統中英文摘要資訊取自各篇刊載內容。