보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제7권3호
  • /
  • Pages.237-249
  • /
  • 2013
  • /
  • 2093-5986(pISSN)
  • /
  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
권호 표지
DOI QR코드

DOI QR Code

노인요양시설 노인의 다약제 복용(Polypharmacy)과 부적절한 약물사용 실태

Status of Polypharmacy and Inappropriate Medication Use of the Elderly in Nursing Homes

  • 김정선 (전남대학교 간호대학) ;
  • 강숙 (전남과학대학교 간호학과)
  • Kim, Jeong-Sun (College of Nursing, Chonnam National University) ;
  • Kang, Sook (Department of Nursing, Chunnam Techo University)
  • 투고 : 2013.08.09
  • 심사 : 2013.09.06
  • 발행 : 2013.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study was done to investigate status of polypharmacy and inappropriate medications use of the elderly of in nursing homes. The subjects of this study were 270 elderly people in the nursing homes of G city and K city, In this study, the medications were classified by Anatomical Therapeutic Chemical (ATC) code, polypharmacy was defined as taking medications more than five, and inappropriate medications use were identified by Beers criteria. Data was analyzed by using descriptive statistics, t-test and one-way ANOVA. Total number of drug types in this study was the average $6.1{\pm}2.6$. The subjects with polypharmacy were 193(71.5%), and with inappropriate medications use were 138(51.1%). There was a significant difference in the polypharmacy according to the number of diseases(p<.001) and in the inappropriate medications use according to age(p=.018). Baesd on this study, polypharmacy and inappropriate medications use of elderly people were main problems that need to carefully assess for safe and correct medication usage in nursing home. Therefore, an ongoing medication monitoring system is necessary to minimize the adverse drug reactions of elderly.

키워드

참고문헌

  1. Statistics Korea(2012), The Elderly Persons Statistics, http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board.
  2. Ministry of Health & Welfare(2011), 2012 Status of Nursing Homes, http://stat.mw.go.kr/front /statData/publicationView.jsp?bbsSeq=7&nttSeq=2 0855&menuId=41.
  3. J.M. Lee, M.J. Park, E.J. Han, E.Y. Seo(2012), Management Plan for Medical Demand of Nursing Home Residents, Health Insurance Policy Institute, http://www.nhic.or.kr/cms/boa rd/board/Board.jsp?
  4. Y.R. Chin, H.Y. Lee(2013), Contents Analysis on the Media about Problems of Long-Term Care Facilities, The Korean Journal of Health Service Management, Vol.7(1);119-131. https://doi.org/10.12811/kshsm.2013.7.1.119
  5. C.D. Venturini, P. Engroff, L.S. Ely, L.F.A. Zago, G. Schroeter, I. Gomes, et al.(2011), Gender Differences, Polypharmacy, and Potential Pharmacological Interactions in the Elderly, Clinics, Vol.66(11);1867-1872.
  6. Y.O. Park, E.H. Cho, N.J. Lee, Y.S. Seo(2010), Factors Influencing Health Service Utilization of Older Adults in Nursing Homes, Journal of Korean Gerontol Nurs, Vol.12(1);10-20.
  7. M.P. Ster, E.C. Gorup, D. Klancic(2009), Polypharmacy and Inappropriate Drug Prescribing in Elderly Nursing Home Residents, Zdrav Vestn, Vol.78(5);231-240.
  8. S.H. Haider, K. Johnell, M. Thorslund, J. Fastbom(2008), The Influence of Educational Level on Polypharmacy and Inappropriate Drug Use in the Elderly: A Register-based Study of More Than 600,000 Older People, J Am Geriatr Soc, Vol.57(1);62-69.
  9. J. Jyrkka, H. Enlund, M.J. Korhonen, R. Sulkava, S. Hartikainen(2009), Patterns of Drug Use and Factors Associated with Polypharmacy and Excessive Polypharmacy in Elderly Persons Results of the Kuopio 75+ Study: A Cross-sectional Analysis, Drugs Aging, Vol.2(6);493-503.
  10. M.H. Park, A.L. Kim, J.S. Kim, H.J. Kim, Y.H. Park, J.O. Song, et al.(2012), Gerontological Nursing, Jungdammedia, pp.485-490.
  11. J.S. Lee, J.E. Lee, K.Y. Jung, S.H. Ma, M.Y. Kim, S.H. Yoo, J.L. Yoon(2008), Polypharmacy and Inappropriate Drug Prescription in Community-dwelling Elderly, Journal of Korean Acad Fam Med, Vol.29(12);925-931.
  12. A.Z. Fu, G.G. Liu(2003), Increased Healthcare Utilization for the Elderly due to Inappropriate Prescription Use, Value Health, Vol.6(3);204-205.
  13. D.M. Fick, J.W. Cooper, W.E. Wade, J.L. Waller, J. Ross Mclean, M.H. Beers(2002), Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Arch Intern Med, Vol.163;2716-2725.
  14. W. Denneboom, M.G. Dautzenberg, R. Grol, P.A. Smet(2006), Analysis of Polypharmacy in Older Patients in Primary Care Using a Multidisciplinary Expert Panel, Br J Gen Pract, Vol.56;504-510.
  15. B.D. Hwang(2013), Storage and Disposal of Unused Medications for Housewives in the Busan Metropolitan City, The Korean Journal of Health Service Management, Vol.7(2);69-79.
  16. National Health Insurance Service(2013), 2013 Facilities Benefit Evaluation Manual, http://www.longtermcare.or.kr/portal/site/nydev /MENUITEM_NOTICE/.
  17. H. Chung, Y.W. Suh, S.J. Chon, E.S. Lee, B.K. Lee, K.I. Kim(2007), Analysis of Inappropriate Medication Use in Hospitalized Geriatric Patients, J Kor Soc Health-Syst Pharm, Vol.24(2);115-123.
  18. P.A. Dionne, H.M. Vasiliadis, M. Preville(2011), The Economic Impact Attributable to the Inappropriate Prescription of Benzodiazepines in the Elderly Living in the Community, Value Health, Vol.14(3);A106-A106.
  19. D.T. Lau, J.D. Kasper, D.E.B. Potter, A. Lyles(2004), Potentially Inappropriate Medication Prescriptions among Elderly Nursing Home Residents: Their Scope and Associated Resident and Facility Characteristics, Health Serv Res, Vol.39(5);1257-1276. https://doi.org/10.1111/j.1475-6773.2004.00289.x
  20. D.S. Seo, J.L. Yoon, S.J. Kim, J.S. Park, W.J. Lee, M.Y. Kim(2012), Polypharmacy in Older Patients Admitted to a General Hospital, J Korean Geriatr Soc, Vol.16(3);133-140. https://doi.org/10.4235/jkgs.2012.16.3.133
  21. J.K. Lee(2011), Factors Associated with Drug Misuse Behaviors among Polypharmacy Elderly, Korean J Adult Nurs, Vol.23(6);554-563.
  22. Ministry of Food and Drug Safety, National Institute of Food and Drug Safety Evaluation (2011), Introduction to Drug Utilization Research, http://www.mfds.go.kr.
  23. J.S. Nam, W.G. Shin, J.M. Oh(2005), Pattern of Medications Usage and Potentially Inappropriate Medication Usage among Korean Ambulatory Elderly Patients Based on an Explicit Criterion, Kor J Clin Pharm, Vol.15(2);149-159.
  24. J. Schuler, C. Duckelmann, W. Beindl, E. Prinz, T. Michalski, M. Pichler(2008), Polypharmacy and Inappropriate Prescribing in Elderly Internal-medicine Patients in Austria, Wien Klin Wochenschr, Vol.120(23-24);733-741. https://doi.org/10.1007/s00508-008-1089-z
  25. Ministry of Health & Welfare, Korea Institute for Health and Social Affairs(2012), 2011 Survey of the Elderly, http://www.mw.go.kr/front_new /jb/sjb030301ls.jsp?PAR_MENU_ID=03&MENU_I D=030502.

피인용 문헌

  1. Clinical Usefulness Evaluation of Computerized Drug-Drug Interaction Program vol.32, pp.4, 2013, https://doi.org/10.32429/jkshp.2015.32.4.001
  2. Health personnel's experience with resident-centered care in nursing homes in Korea: A qualitative study vol.6, pp.2, 2013, https://doi.org/10.1016/j.ijnss.2019.03.012