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首页> 外文期刊>Journal of Young Pharmacists >Complexity of Medication Regimen Prescribed on Hospital Discharge in Paediatric and Geriatric Patients with Psychiatric Disorder
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Complexity of Medication Regimen Prescribed on Hospital Discharge in Paediatric and Geriatric Patients with Psychiatric Disorder

机译：小儿和老年精神病患者的出院处方药物治疗方案的复杂性

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Background: Prescribing multiple medications to a patient increases the complexity of the treatment regimen and, thereby, the chances of noncompliance and adverse effects. The phase of discharge from the hospital is a critical period wherein the patient and/or the caretakers have to assume the responsibility of taking/providing the medications as directed by the physician. The objective of this study is to assess the complexity of medication regimen prescribed on hospital discharge to pediatric and geriatric patients with psychiatric disorders using the Medication Regimen Complexity Index (MRCI) instrument. Method: A descriptive, case record based study was conducted. The complexity of the hospital discharge prescriptions in pediatric and geriatric psychiatry patients was measured using the Medication Regimen Complexity Index instrument. Results: Of the 90 discharge prescriptions studied, 40 belonged to pediatric age group. The median number of drugs that each patient received was two in the pediatric group and five in the geriatric group ( p <0.001). The median MRCI score was significantly higher in the geriatric group (15.5) compared to the pediatric group (7.5) ( p <0.001). Gender difference was seen with significantly higher scores in geriatric men. Conclusion: While polypharmacy is of concern across all age groups, our study showed that the medication regimen complexity in significantly higher in the geriatric age group. Special attention is required in case of geriatric patients to simplify their medication regimen at the time of hospital discharge in order to ensure better compliance.
机译：背景：向患者开多种药物会增加治疗方案的复杂性，从而增加违规和不良反应的几率。从医院出院的阶段是关键时期，其中患者和/或看护者必须承担按照医生指示服用/提供药物的责任。这项研究的目的是使用药物治疗复杂度指数（MRCI）仪器评估出院时对患有精神疾病的小儿和老年患者的药物治疗方案的复杂性。方法：进行了基于病例记录的描述性研究。小儿和老年精神病患者的出院处方的复杂性是使用药物治疗方案复杂性指数仪器进行测量的。结果：在研究的90种出院处方中，有40种属于小儿年龄组。小儿组每位患者接受药物治疗的中位数为2例，老年组为5种（p <0.001）。与儿童组（7.5）相比，老年组（15.5）的MRCI得分中位数显着更高（p <0.001）。在老年男性中，性别差异显着更高。结论：尽管跨年龄段的人群都关注多药治疗，但我们的研究表明，老年年龄组的用药方案复杂性明显更高。对于老年患者，需要特别注意以简化出院时的用药方案，以确保更好的依从性。

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