关键词:慢性病,多重用药,影响因素

Abstract:Objective: To understand the current situation of multiple drug use in elderly patients with chronic diseases in Yanggu County, and to analyze the influencing factors of multiple drug use so as to provide scientific basis for rational drug use for the elderly.Methods:The group sampling method was used to investigate the old people (≥ 60 years old) who lived in Yanggu County.Data were collected by face-to-face inquiry.The basic situation, disease situation, drug use, medical habits and other information of the elderly were investigated, and the multiple drug use was analyzed.The current situation of multiple drug use in the elderly in Yanggu County was described, and the influencing factors of adverse reactions of multiple drug use in the elderly were analyzed by multiple factor Logistic regression.Results:A total of 3142 elderly people were included, 2497 of them were chronic disease patients, the prevalence rate was 79.47%, and 601 of them (24.07%) were multiple drug use.The influencing factors of multiple drug use were medical insurance type, complications, fixed doctors, drug adjustment mode, hospital treatment, chronic disease treatment, ability of daily life classification, drug compliance and outpatient treatment.Compared with other adjustment methods, high level of hospitals and poor medication order, community doctors were the protective factors and others were risk factors of multiple medication.Conclusion:The rate of multiple drug use was 24.07% in Yanggu County.Multiple drug use is caused by multiple factors, which is related to the severity of the disease, the adjustment of drugs by the specialists, and the dysfunction. Multiple drug use can be reduced in hospitals at or above the municipal level.

Key words:chronic disease,polypharmacy,influencing factors