Evolution of Drug Utilization in Nursing Homes in Belgium

J. D. Wolf, T. Dilles, R. V. Stichele, M. Elseviers
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引用次数: 7

Abstract

In 2005, the PHEBE study highlighted the problem of polypharmacy and the emerging use of psychotropic medication in nursing home residents (PHEBE 1). In 2011, new collected data were compared (PHEBE 2). The total mean number of prescriptions in PHEBE 1 was 8.4, containing a mean of 7.6 for chronic medication only. For PHEBE 2 this was 8.6 for total and 8.1 for chronic medication. In both investigations (2005-2011, resp.) the main categories were ‘Nervous system’ (88.3-89.2%), followed by ‘Cardiovascular system’ (78.0-84.8%) and ‘Alimentary tract and metabolism’ (81.1-83.2%). This study found that polypharmacy remains a major problem in residential care. The use of chronic medication further increased with a high consumption of psychotropic medication, beta-blockers and laxatives.
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比利时养老院药物使用的演变
2005年,PHEBE研究强调了养老院居民的多重用药问题和精神药物的新使用(PHEBE 1)。2011年,比较了新收集的数据(PHEBE 2)。PHEBE 1的处方总数平均为8.4张,其中仅慢性药物的处方总数平均为7.6张。对于PHEBE 2,总评分为8.6,慢性用药评分为8.1。在这两项调查(2005-2011年)中,主要类别是“神经系统”(88.3-89.2%),其次是“心血管系统”(78.0-84.8%)和“消化道和代谢”(81.1-83.2%)。本研究发现,多药仍然是一个主要问题,在住宿护理。随着精神药物、受体阻滞剂和泻药的大量使用,慢性药物的使用进一步增加。
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