노인의 약물사용이 낙상경험에 미치는 영향

• 영문명: Medications and Falls Experiences among Older People
• 발행기관: 한국노인간호학회
• 저자명: 한지윤(Han, Jiyoon) 박은옥(Park, Eunok)
• 간행물 정보: 『노인간호학회지』제23권 제4호, 373~383쪽, 전체 11쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2021.11.30

영문 초록

Purposes: This study aimed to identify the status of drug use and analyze the effects of drug use on falls among older people. Methods: The data were collected from 285 community-dwelling older persons through interviewing with questionnaires and checking participants’ medication prescriptions and the drugs using the Korea Pharmaceutical Information Center’s(KPIC) website. The medications were classified into anatomical and therapeutic divisions based on the medications’ ingredients provided by the KPIC. Chi-square test, ANOVA, t-test, and logistic regressions were applied to analyze the data. Results: The finding showed that 81.4% of the older adults were taking medications. Older people taking antihyperlipidemic drugs are at 1.79 times higher risk for experiencing a fall(95% CI=1.01∼3.16, p=.046), and hypnotic sedative and sleeping pills increased their fall risks 11.06 times (95% CI=1.27∼96.07, p=.029) compared to those not taking the medications. Nonsteroidal antiinflammatory agents showed a 2.74 odds ratio (95% CI=1.23∼5.73, p=.013) and narcotic analgesics increased the fall experience risk 8..56 times (95% CI=1.02∼71.88, p=.048). Those with chronic diseases experienced falls 3.04 times more than those without chronic diseases. Conclusions: This study s findings showed medications might be one of the important influencing factors on fall risks among older adults. Raising awareness of fall risks associated with medicines through health education and medication reviews by health professionals should be considered a strategy for preventing older adults falls.

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REFERENCES

키워드

노인 약물사용 낙상 Aged Accidental Falls Drug Utilization