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1- School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
2- School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. , mohamad_abbasi55@yahoo.com
Abstract:   (1356 Views)
Background& objectives: Aging is associated with an increased incidence of chronic diseases and multi-drug therapy, thereby increasing the risk of drug complications and changes in quality of life. With the increasing proportion of the elderly worldwide, the quality and safety of drug administration is a global health concern. The aim of this study was to determine the prevalence of potentially inappropriate medication according to STOPP criteria and its related factors in the elderly in Qom, 2019.
Methods: In this cross-sectional descriptive-analytical study, 783 elderly patients hospitalized in internal and surgical wards of selected hospitals affiliated to Qom University of Medical Sciences were selected by convenience sampling method. The instruments used were demographic and health information questionnaire, Charlson Comorbidity Index, Screening Tool of Older Persons’ Prescriptions(STOPP) version 2 and Elderly health related quality of life questionnaire in 15 domains (HRQOL-15D). The data were analyzed by SPSS software V20 using descriptive statistics and logistic regression analysis.
Results: The mean (SD) of the number of drugs used in the elderly was 7.21 (3.16). 79.57% of patients had polypharmacy. The Charlson Comorbidity Index score of 29.9% the elderly was 4. The results showed that the prevalence of PIM was %46.10 and the most common category of potentially inappropriate medications was increased risk of falls medications (%13.79), repeated administration of one drug class (%12.39) and then central nervous system and psychotropic drugs (%5.36). The mean and standard deviation of health-related quality of life score in the elderly was 0 85± 0.12. Logistic regression analysis showed that health-related quality of life (OR 0/096, CI 95% 0/030-0/307), polypharmacy (OR 8/46 CI95% 4/78-14/966) and Chalson morbidity index (OR 2/079, CI95% 1/23-3/17) was associated with potentially inappropriate medication use by the elderly (P<0/001).
Conclusion: The use of potentially inappropriate medications is a common health problem among the elderly and is associated with health-related quality of life, polypharmacy, and CCI. Nurses should dynamically evaluate the elderly's medication regimen to identify potentially inappropriate medications.
 
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Type of Study: Research | Subject: nursing
Received: 2019/12/15 | Accepted: 2020/05/17

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