장기요양시설 거주 노인을 대상으로 한국형 요양원 입소 노인 약물검토 도구의 타당성 검증을 위한 전향적 선행연구
Pilot Prospective Study for Validation of Korean Medication Review Tool for Nursing Home Residents in Older Adults Living in Long-term Care Facilities
Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents in Korean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newly developed tool and to evaluate the drug related problems (DRPs) identified by pharmacists’ medication review in NH setting. Methods: This study was carried out in two NHs in Korea. The elderly residents (65 or older) using 5 or more medications were eligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) based on the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about 55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54 DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases or conditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. ‘Continued use or regular daily use of hypnotics’ was the most highly detected item (9 cases) followed by ‘multiple prescriptions within each class of hypnotics/sedatives’ (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were accepted in 18 cases (46.1%). Conclusion: This pilot study demonstrated that newly developed tool is feasible for the nursing home residents. However, further studies with larger population are warranted.
목차
ABSTRACT 연구 방법 대상환자 약물검토 및 중재 절차 결과변수 및 통계분석 연구 결과 고찰 결론 References
키워드
long-term care facilitymedication reviewmedication review toolpotentially inappropriate medications
저자
채현우 [ Hyun-Woo Chae | 서울대학교 약학대학 ]
정종현 [ Jonghyun Jeong | 서울대학교 약학대학 ]
전광희 [ Kwanghee Jun | 서울대학교 약학대학 ]
이주연 [ Ju-Yeun Lee | 서울대학교 약학대학, 서울대학교 종합약학연구소 ]
Corresponding Author