背景：長期照顧機構為提昇照護品質，重要關鍵之一在由藥師定期進行藥物治療評估。本研究以花蓮縣6家長期照顧機構為對象，探討住民藥物治療之適當性，作為藥師進入長期照顧機構提供藥事服務之參考。
方法：以藥物適當性指標進行回溯性藥物治療評估。共訪視住民122位，用藥評估228例。
結果：高血壓67例，無重覆用藥。高血糖35例，無重覆用藥。高血脂11例，藥品與疾病間無交互作用，無重覆用藥。其它疾病115例，藥品間六成無顯著交互作用。
結論：藥師評估住民用藥時，最好先從疾病或症狀下手，並主動與醫師溝通，此外應主動提供教育訓練，以提昇照護人員及家屬用藥安全常識。
Objectives: One of the critical components of promoting quality care in a long-term care facility is to conduct the appraisal of drug therapy services on a regular basis by pharmacists. This research took six long-term care facilities in Hualian County as the study samples and examined their appropriateness of pharmacological treatments. The results of this study will provide pharmacists a reference while serving in long-term care facilities.
Methods: Medication Appropriateness Index Scale was adopted while conducting retrospective drug regimen review. There were 122 residents being interviewed and 228 examples of drug treatment being evaluated.
Results: Both 67 residents of hypertension and 35 residents of hyperglycemia were found to have no therapeutic duplication. Eleven residents of hyperlipidemia were found to have no therapeutic duplication and correlation between drugs and diseases. One hundred and fifteen residents of other diseases were found to have no remarkable correlations with 60% of the drugs.
Conclusions: When appraising resident’s medication, pharmacists should first start with recognizing diseases or the symptoms, and initiating effective communication with physicians. In addition, in order to promote medication safety, pharmacists should initiate and provide education and training programs to caregivers, including family members of residents.
