Establishment of Evaluation Standard for Rational Drug Use in Elderly Patients with Hypertension after Comprehensive Evaluation
- VernacularTitle:老年高血压患者综合评估后合理用药评价标准的建立
- Author:
Zhongming LV
1
;
Xia DU
;
Shenglin WU
;
Yirui WANG
;
Xia WANG
;
Chen ZHANG
Author Information
1. 湖北省武汉市第五医院 武汉430050
- Keywords:
Delphi method;
Hypertension;
Elderly patients;
Prescription comment;
Management of chronic disease;
Rational drug use
- From:
China Pharmacist
2018;21(10):1787-1789
- CountryChina
- Language:Chinese
-
Abstract:
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.
