Medication Compliance Status Inferred from Surveillance of Medicines Brought to Hospital by Inpatients
Medication Compliance Status Inferred from Surveillance of Medicines Brought to Hospital by Inpatients
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通过监测住院患者带入医院的药品推断出用药依从性状况
DOI：
10.5649/jjphcs.46.522
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
M. Myotoku
中科院分区：
文献类型：
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作者：
S. Omotani;Toshiki Ikejima;Masahito Shibano;Yasuhiro Katsui;Y. Hatsuda;Junji Mukai;Yuko Hatanaka;Akio Kikuuchi;Genichi Seki;M. Myotoku
一些住院患者有药物使用史;因此，有许多关于药剂师管理自己药物的重要性的报告。相反，缺乏关于患者服药依从性的信息。因此，我们收集了住院患者的用药数据，并调查了他们的用药依从性。使用患者携带的药品识别单和患者的病历，调查了2017年4月至2018年3月期间在国穗中央医院就诊的患者的用药依从性状况。住院患者携带到医院的药物的鉴别数量为1，080，本研究使用了889种药物的详细信息。平均每位患者携带的药物数量为5.6 ± 3.5，老年患者携带的药物较多，用药依从性较低。抗生素、化疗药物和肿瘤药物的依从性良好，而维生素、外周神经系统药物和治疗感觉器官问题的药物的依从性较差。未依从患者中的每位患者的药物费用约为3，836 ± 11，078日元，总计3，409，914日元。从这项研究中推断，老年患者以及用于治疗慢性病的药物的用药依从性状况更差。药房可以提供适当的药物治疗，并通过提高对家庭药剂师系统的认识和改善社区药房和医院之间的合作，以提高多药治疗和药物依从性，为降低医疗保健成本做出贡献。
Several hospitalized patients have a history of medication use; consequently, there are numerous reports on the impor-tance of pharmacists managing their own medications. Conversely, there is a lack of information about the status of patients ʼ medication adherence. Therefore, we collected data on medicines brought to hospital by inpatients and investigated their medication compliance status. The medication compliance status of patients visiting the Kokuho Chuo Hospital from April 2017 to March 2018 was investigated using the identification sheets of medicines brought by these patients and patients ʼ medical records. The number of differentiations of medicines brought to the hospital by inpatients was 1,080, and the details of 889 medicines were used in this study. The average number of medicines brought per patient was 5.6 ± 3.5, with elderly patients bringing more medicines and exhibiting a low medication compliance. Compliance with antibiotics, chemotherapeutics, and oncology drugs was good, whereas that of vitamins, peripheral nervous system agents, and drugs for treating sensory organ issues was poor. The cost of medication per patient among non-adherent patients was approximately 3,836 ± 11,078 yen, amounting to a total cost of 3,409,914 yen. The medication compliance status inferred from this study was worse among elderly patients as well as for medicines used to treat chronic diseases. Pharmacists can provide appropriate drug treatments and contribute toward reducing healthcare costs by increasing awareness regarding the family pharmacist system and improving cooperation between community pharmacies and hospitals to improve polypharmacy and medication adherence.