Khảo sát tình hình sử dụng thuốc ở người bệnh cao tuổi có chẩn đoán mất ngủ và không có chẩn đoán mất ngủ tại Bệnh viện Nguyễn Trãi năm 2022

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Tác giả: Thị Kiều Nga Đặng, Thị Hải Yến Nguyễn, Thị Thanh Nga Nguyễn, Võ Thu Hiền Nguyễn, Thanh Hưng Quách, Thị Hồng Nguyên Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 649.4 Child health care

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 111-116

Bộ sưu tập: Metadata

ID: 502518

Thêm vào giỏ

Nghiên cứu thực hiện phân tích tình hình sử dụng thuốc của người bệnh cao tuổi mất ngủ và không mất ngủ tại bệnh viện Nguyễn Trãi năm 2022 và đề xuất những tác động phù hợp trong chiến lược điều trị với người bệnh cao tuổi mất ngủ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả cắt ngang dữ liệu bệnh án điện tử của người bệnh điều trị ngoại trú năm 2022. Từ đó, tiến hành phân tích và đánh giá các chỉ số sử dụng thuốc trên 02 nhóm người bệnh cao tuổi (>
=60 tuổi) mất ngủ và không mất ngủ. Kết quả: Nhóm người bệnh cao tuổi mất ngủ (n = 2.923) và người bệnh cao tuổi không mất ngủ (n = 23.102) không có sự khác biệt về chi phí cho thuốc trung bình mỗi đơn dao động từ 245.846 VND - 257.753 VND (p = 0,319). Các chỉ số về số thuốc trong một đơn
tỷ lệ phần trăm và tỷ lệ phần trăm chi phí thuốc dành cho kháng sinh/vitamin của nhóm MN cao hơn so với nhóm KMN. Ngoài ra, việc phân tích chỉ số đo lường lượng tiêu thụ thuốc dựa trên DDD 1000 ca bệnh cho thấy sự tương đồng về cơ cấu và mức độ thuốc tiêu thụ thuốc giữa hai nhóm người bệnh. Kết luận: Nghiên cứu là một tiền đề nhằm phát triển các nghiên cứu về việc phân tích các yếu tố liên quan đến bệnh mất ngủ và hỗ trợ phát triển các chiến lược điều trị hiệu quả.The aim of the study was to analyze the drug use of elderly patients with and without insomnia at Nguyen Trai hospital in 2022 and to propose appropriate treatment strategies. Objectives and method: The study was a retrospective, cross-sectional descriptive analysis of electronic medical records of outpatients in 2022. The analysis and evaluation of drug use indicators were performed on two groups of elderly patients, aged 60 years and above, with insomnia and without insomnia. Results: The results showed that there was no significant difference in the average drug cost per prescription (p = 0,319) between the group of elderly patients with insomnia (n = 2,923
245.846 VND) and without insomnia (n = 23,102
257.753 VND). The average number of drugs and the percentage of prescriptions and the cost of each prescription containing antibiotics, injectables and vitamins of the group with insomnia were higher between the group without insomnia. The analysis of the drug consumption index based on DDD (Defined Daily Dose) per 1000 cases also showed similarities in the structure and level of drug consumption between the two groups. Conclusion: The study is significant as it provides insights into the drug use of elderly patients with insomnia and may assist in the development of more effective treatment strategies.

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