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Knowledge of prescription medications among cancer patients aged 65years and above

机译:65岁及以上癌症患者的处方药知识

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Objectives: Studies have repeatedly shown that older adults have poor medication knowledge and utilize a disproportionate share of medications. These put them at high risk for drug-drug interactions. This study aims to determine the knowledge of prescription medications among cancer patients aged ≥ 65. years and determine the extent of safe medication practices adopted by patients. Secondary objectives include determining potential drug-drug interactions and uncovering potential areas of risk in safe medication use. Materials and Methods: This is a cross-sectional study of patients/caregivers attending outpatient clinics at the National Cancer Centre Singapore. Patients (≥ 65. years) taking ≥ 1 prescription medication at home were recruited. Patients were interviewed using structured questionnaires in a language understood by patients. Information was verified through the electronic prescription system and case notes. Results: A total of 196 patients were included in the analysis. The mean age (S.D.) of patients was 71 (4.54) years. Patients were on an average of 4.09 medications. Seventy-four (37.7%) patients failed to report ≥ one of their medications. Few patients could name their medications (8.7%), were aware of precautionary instructions (23.5%) and keep a medication list (15.3%). A majority of patients correctly identified the indications for use (69.4%), prescribed doses (77.0%) and dosing frequencies (73.0%). Approximately half of the patients would read drug labels (51.0%), discard medication when no longer needed (60.7%) and check expiry dates (44.9%). About a third would check for any changes in medication/regimen associated with new prescriptions (37.8%). No clinically significant drug-drug interaction was detected. Conclusion: Elderly patients do not possess a complete knowledge about their medications and lack practices for safe medication use.
机译:目标:研究反复表明,老年人对药物的了解较差,并且使用的药物比例不成比例。这些使他们处于药物与药物相互作用的高风险中。本研究旨在确定年龄≥65岁的癌症患者中处方药的知识,并确定患者采用的安全用药实践的程度。次要目标包括确定潜在的药物相互作用,并发现安全使用药物的潜在风险领域。材料和方法:这是对新加坡国家癌症中心门诊就诊的患者/护理人员的横断面研究。招募了在家中≥1种处方药的患者(≥65岁)。使用结构化问卷以患者理解的语言对患者进行了采访。通过电子处方系统和案例记录对信息进行了验证。结果:总共196例患者被纳入分析。患者的平均年龄(S.D.)为71(4.54)岁。患者平均接受4.09种药物治疗。 74名(37.7%)患者未报告≥一种药物。很少有患者可以命名自己的药物(8.7%),了解预防说明(23.5%)并保留药物清单(15.3%)。大多数患者正确地确定了使用适应症(69.4%),处方剂量(77.0%)和给药频率(73.0%)。大约一半的患者会阅读药品标签(51.0%),在不再需要时丢弃药物(60.7%)并检查有效期(44.9%)。大约三分之一的人会检查与新处方有关的药物/治疗方案的任何变化(37.8%)。未检测到临床上重要的药物相互作用。结论:老年患者不完全了解自己的药物,缺乏安全使用药物的方法。

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