장기요양시설 거주 노인을 대상으로 한국형 요양원 입소 노인 약물검토 도구의타당성 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
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Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents inKorean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newlydeveloped 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 wereeligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) basedon the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases orconditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. ‘Continued use or regulardaily use of hypnotics’ was the most highly detected item (9 cases) followed by ‘multiple prescriptions within each class ofhypnotics/sedatives’ (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were acceptedin 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.
Abstract
Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents inKorean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newlydeveloped 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 wereeligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) basedon the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases orconditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. ‘Continued use or regulardaily use of hypnotics’ was the most highly detected item (9 cases) followed by ‘multiple prescriptions within each class ofhypnotics/sedatives’ (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were acceptedin 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.
참고문헌 (21)
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