Use of self-prescribed nonprescription medications and dietary supplements among assisted living facility residents
Use of self-prescribed nonprescription medications and dietary supplements among assisted living facility residents
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DOI：
10.1331/1544-3191.46.5.574.lam
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发表时间：
2006-09-01
影响因子：
2.1
通讯作者：
Bradley, George
中科院分区：
文献类型：
--
作者：
Lam, Annie;Bradley, George
目的：描述自我处方使用和滥用的流行率，以及用户对辅助生活设施中非处方药和膳食补充剂的意见。设计：描述性横断面研究。设置：俄勒冈州和华盛顿州的两个辅助生活设施（ALF）。参与者：45名ALF居民的便利样本。干预：图表审查和面对面访谈。主要结果测量：自我处方的非处方（OTC）药物和膳食补充剂的使用率和类型;这些产品的滥用，以及参与者对使用这些产品的意见。结果：在29名女性和16名男性中，平均（+/- SD）年龄为84.8 +/- 6.9岁，平均受教育年限为9.9 +/- 6.4年，84.4%的人在本研究时使用自我处方的OTC药物和膳食补充剂。平均每位参与者使用3.4种产品。最常使用的是营养补充剂（占产品的32%），其次是胃肠道产品（17%）、止痛药（16.3%）、草药（14.4%）、外用产品（12%）和感冒/咳嗽产品（8.5%）。在23名（51%）参与者中发现了潜在的误用。产品使用中的问题包括重复（70%），潜在的药物/疾病/食物相互作用（20.8%）和其他不适当的使用（9.1%）。大多数（76%）的参与者认为这些产品有助于保持健康，56%的人希望获得更多产品信息，49%的人向家人和朋友寻求产品信息，40%的人向医生和护士寻求信息，11%的人向药剂师寻求建议。ALF居民中使用非处方药和膳食补充剂的比例很高，同时使用具有相同活性成分的多种产品是最普遍的问题。居民向家人和朋友，医生，护士和ALF工作人员了解这些产品的信息比药剂师更频繁。
Objective: Describe the prevalence of self-prescribed use and misuse as well as users' opinions concerning nonprescription medications and dietary supplements in assisted living facilities.Design: Descriptive cross-sectional study.Setting: Two assisted living facilities (ALFs) in Oregon and Washington State.Participants: Convenience sample of 45 ALF residents.Intervention: Chart reviews and face-to-face interviews.Main Outcome Measures: Prevalence and types of use of self-prescribed over-the-counter (OTC) medications and dietary supplements; misuse of these products, and participants' opinions concerning use of these products.Results: Among 29 women and 16 men with a mean (+/- SD) age of 84.8 +/- 6.9 years and a mean of 9.9 +/- 6.4 years of education, 84.4% were using self-prescribed OTC medications and dietary supplements at the time of this study. A mean of 3.4 products was used per participant. Nutritional supplements were most frequently used (32% of products), followed by gastrointestinal products (17%), pain relievers (16.3%), herbals (14.4%), topical products (12%), and cold/cough products (8.5%). Potential misuse was identified in 23 (51%) of the participants. Problems in the use of products included duplication (70%), potential drug/disease/food interactions (20.8%), and other inappropriate use (9.1%). The majority (76%) of the participants believed the products were helpful in maintaining health, 56% of them wanted more product information, 49% sought product information from family and friends, 40% turned to their physicians and nurses for information, and 11% asked pharmacists for advice.Conclusion: The use of nonprescription medications and dietary supplements among ALF residents was high, and simultaneous use of multiple products with the same active ingredient was the most prevalent problem. The residents turned to family and friends, physicians, nurses, and ALF staff for information on these products more frequently than they did to pharmacists.