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1
題名:Use of Medication by Nursing Home Residents Nearing End of Life: A Preliminary Report    
護理之家住民生命終期藥物使用情形-初步報告
著者:I-chun Chen(陳怡君) ;May-Lien Liu(劉梅蓮) ;Fuh-Chour Twu(涂富籌) ;Chia-Hei Yuan(袁家輝)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:護理之家 ; 藥物治療 ; 生命終期照護 ; nursing home ; medication ; end-of-life care
刊名:The Journal of Nursing Research
卷期:18卷3期(2010.9)
頁碼:199-205
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背 景護理之家住民常因為不同病況的需求比其他族群接受更多藥物治療,而多重藥物治療 往往會產生不良作用。 目 的本篇研究的主要的目的就是要調查住民死亡病例之藥物使用情形、及不同藥物隨時間 變化的狀況,並且找出增加藥物使用的相關因素。 方 法共有31位在死亡前於參與研究的護理之家連續居住超過半年以上之住民病例參與此一 調查報告,收集分析不同時間點:包括入住時、死亡前六個月、死亡前三個月、及死 亡前參與案例的給藥紀錄。 結 果結果顯示,所有住民在死亡時平均藥物數量為7.90(標準差為3.27)種,而且從入住 至死亡這段時間呈現微幅上升趨勢。最常使用的藥物種類為便秘、肺部治療、及高血 壓用藥,住民有心臟疾病此一因素與使用的藥物量較多呈現明顯有意義的相關,胸肺 照護及高血壓用藥從入住至死亡呈現明顯增加,而止痛劑則呈現明顯有意義的減少情 形。 結 論/ 實務應用 本研究描述了護理之家住民自入住至死亡的藥物使用情形,此一結果增強了臨床醫師 及護理人員對住民藥物使用頻率、數量及隨時間變化的了解,此外,除了注意老人用 藥的安全原則,關於慢性照護住民常見主訴病症,也應該同時強調非藥物的介入, 如:生活方式的改變及復健治療功能訓練的重要性。
Background: Nursing home residents usually suffer from a variety of medical conditions and are prescribed a wider variety of medications than any other subpopulation. Polypharmacy is associated with the occurrence of adverse events. Purpose: The purposes of this study were to describe the medication prescription patterns of residents who died in a nursing home, to examine how this pattern changed as residents progressed toward death, and to identify correlates of increased medication prescriptions. Methods: Thirty-one residents who had lived at one nursing home for more than 6 months before death were included in the study. Medication records for participants were obtained at four data collection points: on admission, 6 months before death, 3 months before death, and at death. Results: The mean number of medications prescribed immediately before death was 7.90 (SD = 3.27), and there was an upward trend in number of prescriptions written as patients neared death. The most frequent prescription was for medication for constipation, pulmonary care, and hypertension. There was a significant correlation between residents with heart disease and increased medication use. Medication prescribed for pulmonary care and hypertension increased from admission to death, but a decreased use of medication for pain relief in the time before death in these cases was found. Conclusions/Implications for Practice: This study surveyed and described the pattern of medication use in nursing home residents from admission to the end of life. Results can be used to reinforce clinician and nursing staff awareness of prescription frequency, amounts of medication, and change over time for elderly residents under their care. In addition to safer prescribing practices for the older people, nonpharmacological strategies (e.g., lifestyle modification and physiotherapy for function training) may be used to address common symptoms and complaints during chronic care.


    

本卷期目次
The Journal of Nursing Research 18卷3期 (2010.9)
Influences of Mutuality, Preparedness, and Balance on Caregivers of Patients with Dementia/ Yea-Ing Lotus ShyuChing-Tzu YangChin-Chang HuangHung-Chou KuoSien-Tsong ChenWen-Chuin Hsu
Managing Problem Behaviors in Cognitively Impaired Older People: The Competence and Preparedness of Healthcare Providers in Long-Term Care Facilities/ Chia-Hsiu ChangYu-Hung LinShu-Hui YehLi-Wei Lin
The Use of Music Intervention in Healthcare Research: A Narrative Review of the Literature/ Hsin-Yi Jean TangToni Vezeau
Comparison of Health-Promoting Lifestyles between Postnatal Han Taiwanese and Indigenous Women/ Shu-Hua KOChung-Hey Chen
Use of Medication by Nursing Home Residents Nearing End of Life: A Preliminary Report/ I-chun ChenMay-Lien LiuFuh-Chour TwuChia-Hei Yuan
Validation of the Braden Self-Help Model in Women with Systemic Lupus Erythematosus/ Tzu-Hui ChuangKuan-Chia LinMeei-Ling Gau
Effectiveness of Informational and Emotional Consultation on the Psychological Impact on Women with Breast Cancer Who Underwent Modified Radical Mastectomy/ Su-Chin HsuHsiu-Hung WangShu-Yuan ChuHsiu-Fang Yen
Analysis of Factors Found to Affect Self-Perceived Weight Status in Australia/ Han-Tsung ChuangYi-Chen Lee
 
   
 
   

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