论文部分内容阅读
目的:建立老年高血压患者综合评估后合理用药标准,为临床合理用药提供依据.方法: 将老年人潜在不适当药物使用标准(Beers)、老年人不适当处方筛查工具(STOPP)、老年人处方遗漏筛查工具( START)标准汇总,提取关键条目并删重整理,形成初始标准并作为第1轮调查表,采用德尔菲法,开展2轮本院专家咨询问卷调查,对专家积极系数、权威程度以及协调程度进行评价.结果:参与咨询的专家共10名,2轮有效回收率为100% ,平均权威系数为0. 88,2轮协调系数分别为0. 57, 0. 76,最终完成老年高血压患者综合评估后合理用药标准.该标准共13个综合评估内容,21个用药警示条目.结论: 经过2轮专家咨询,专家意见趋于一致,协调程度高,建立的标准可为临床医生和临床药师合理用药提供参考依据,同时为其他疾病合理用药标准的建立提供思路.“,”Objective: To establish the rational drug use standard for elderly hypertensive patients after comprehensive assessment, so as to provide evidence for rational drug use in clinics. Methods: Such standards as Beers, STOPP and START were summarized, key items were extracted,duplicate contents were deleted,and the initial standard was formed and used as the first round questionnaire. The Delphi method was used to conduct the second round expert consultation questionnaire,and the positive coefficients, authority and coordination degree of the experts were evaluated. Results: A total of 10 experts participated in the consultation, and the effective re-covery rate of the second round was 100% and the average authority coefficient was 0. 88. The coordination coefficient of the two rounds was 0. 57 and 0. 76, respectively. The standard of rational drug use for the elderly patients with hypertension after comprehensive as-sessment was finally completed. The standard contained 13 comprehensive assessment contents and 21 drug warning entries. Conclu-sion: After 2 rounds of expert consultation,the opinions tend to be uniform with high degree of coordination. The standard can provide reference for clinicians and clinical pharmacists to use drugs rationally. At the same time,it also provides ideas for the establishment of rational drug use standards for other diseases.