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目的了解临沂市罗庄区社区老年人群口服药物及不良反应发生情况。方法采用多级整群抽样方法从临沂市罗庄区城区抽取3 423名60岁以上老年人为调查对象.详细询问老年人一般人口学特征、慢性病史、服药情况、不良反应情况等。采用SPSS10.0软件进行率的χ2检验。结果临沂市罗庄区社区老年人群的服药率为50.5%,不同性别、不同年龄、不同教育程度人群的服药率差异有统计学意义(P<0.05)。老年人群药物不良反应发生率为5.3%,女性、非在婚者及未严格按照医嘱或说明书服用药物者不良反应发生率较高,分别为6.2%,6.9%和12.7%,未遵照医嘱或说明书服用药物者显著高于遵照医嘱或说明书服用者(χ2=12.275,P<0.01)。结论临沂市罗庄区社区老年人群用药频率高,药物不良反应是老年人的卫生问题。加强对老年人用药监测和干预有助于改善老年人的健康水平。
Objective To understand the incidence of oral medication and adverse reactions in elderly community in Luozhuang District of Linyi City. Methods A multistage cluster sampling method was used to select 3 423 elderly people over the age of 60 from the downtown area of Luozhuang District of Linyi City for the purpose of investigating the general demographic characteristics, chronic medical history, medication taking, adverse reactions and so on. Using SPSS10.0 software rate χ2 test. Results In Luozhuang District of Linyi City, the prevalence of the elderly population in community was 50.5%. There was significant difference in the medication rate between different sexes, different ages and education levels (P <0.05). The incidence of adverse drug reactions in the elderly population was 5.3%. The incidence of adverse reactions in women, non-married persons and those who did not strictly follow the doctor’s advice or instruction manual was 6.2%, 6.9% and 12.7%, respectively. Failure to comply with the doctor’s advice or instruction manual Those taking the medication were significantly higher than those taking the medication or instructions (χ2 = 12.275, P <0.01). Conclusion Luozhuang District, Linyi City, the elderly community medication frequency is high, adverse drug reactions in the elderly health problems. Strengthening drug monitoring and interventions for the elderly can help improve the health of the elderly.