Khảo sát vấn đề liên quan đến thuốc trên đơn thuốc điều trị tăng huyết áp của người bệnh ngoại trú tại một bệnh viện tuyến quận thuộc thành phố Hồ Chí Minh năm 2023=Survey of drug - related problems on outpatient prescriptions for hypertension at a district hospital in Ho Chi Minh city in 2023

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Tác giả: Khang Kiệt Chung, Như Quỳnh Đỗ, Huỳnh Bảo Ngọc Dương, Hải Phương Vy Nguyễn, Thị Lên Nguyễn, Thị Ngọc Trâm Nguyễn, Lê Diệu Hiền Phạm, Thị Minh Tâm Trần, Đức An Trương, Nhật Anh Võ, Thị Hà Võ, Văn Minh Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.248-254

Bộ sưu tập: Metadata

ID: 242082

Thêm vào giỏ

Identify drug-related problems in prescriptions for outpatient hypertension treatment at a district hospital in Ho Chi Minh city in 2023. Subjects and methods: A retrospective cross-sectional descriptive study conducted on 420 randomly selected outpatient hypertension treatment prescriptions at a district-level hospital in Ho Chi Minh city in 2023. Data were processed using Microsoft Excel 2016 and SPSS 20.0 software. Results: The patients in the study sample mostly belonged to the high-risk group, had multiple comorbidities, used three or more types of drugs, withover 80% of prescriptions involving combination antihypertensive drugs. 27.9% of prescriptions recorded at least one drug-related problem. Common drug-related problemsincludes: drugs not indicated despite diagnosis (17.6%)
prescriptions with contraindications (6.7%), including two noteworthy cases: diuretics prescribed for gout patients (6.2%) and beta-blockers prescribed for asthma patients (0.2%)
incorrect drug dosage (5.5%)
incorrect drug administration (3.1%)
missing diagnosis (2.1%)
prescriptions with severe drug interactions (1.2%). 44.2% of cases had drug combinations that did not comply with recommendations for patients with hypertension and comorbid conditions such as coronary artery disease, type 2 diabetes, or chronic kidney disease. Conclusion: The study describes the sample, records, identifies, and analyzes the rate of drug-relatedproblemsin hypertensive patients treated at the hospital, as well as cases of drug combinations that do not comply with recommendations for patients with hypertension and comorbid conditions.Xác định các vấn đề liên quan đến thuốc trên đơn thuốc điều trị tăng huyết áp của người bệnh ngoại trú tại một bệnh viện tuyến quận ở thành phố Hồ Chí Minh năm 2023. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang hồi cứu tiến hành trên 420 đơn thuốc điều trị tăng huyết áp của người bệnh ngoại trú được lấy ngẫu nhiên tại một bệnh viện tuyến quận tại thành phố Hồ Chí Minh năm 2023. Số liệu thu thập được xử lý bằng phần mềm Microsoft Excel 2016 và SPSS 20.0. Kết quả: Người bệnh trong mẫu nghiên cứu đa phần thuộc nhóm nguy cơ cao, nhiều bệnh mắc kèm, sử dụng từ 3 loại thuốc trở lên với số đơn phối hợp thuốc tăng huyết áp trên 80%. Ghi nhận 27,9% đơn thuốc có ít nhất 1 vấn đề thuốc. Các vấn đề liên quan đến thuốc thường gặp trong mẫu nghiên cứu: chỉ định thiếu thuốc so với chẩn đoán (17,6%)
đơn thuốc có chống chỉ định trên người bệnh (6,7%), trong đó có 2 trường hợp đáng lưu ý: chỉ định thuốc lợi tiểu trên người bệnh gout (6,2%) và chỉ định thuốc chẹn beta trên người bệnh có hen phế quản (0,2%)
chỉ định thuốc sai liều (5,5%)
chỉ định thuốc sai cách dùng (3,1%)
thiếu chẩn đoán (2,1%)
đơn thuốc có tương tác thuốc nghiêm trọng (1,2%). Ghi nhận 44,2% trường hợp phối hợp thuốc chưa phù hợp với khuyến cáo ở người bệnh tăng huyết áp có bệnh kèm như bệnh mạch vành, đái tháo đường type 2 hoặc bệnh thận mạn. Kết luận: Nghiên cứu thực hiện mô tả mẫu nghiên cứu, ghi nhận, xác định và phân tích tỷ lệ các vấn đề liên quan đến thuốc xuất hiện trên nhóm người bệnh tăng huyết áp điều trị tại bệnh viện cũng như các trường hợp phối hợp thuốc chưa phù hợp với khuyến cáo ở nhóm người bệnh tăng huyết áp có bệnh kèm.

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