정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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독거노인의 일반의약품 사용에 영향을 미치는 요인

Factors Associated with the Use of Over-the-Counter Medications in the Elderly Living Alone

  • 윤여송 (단국대학교 의과대학 정신의학교실) ;
  • 백기청 (단국대학교 의과대학 정신의학교실) ;
  • 이경규 (단국대학교 의과대학 정신의학교실) ;
  • 이석범 (단국대학교 의과대학 정신의학교실) ;
  • 김경민 (단국대학교 의과대학 정신의학교실) ;
  • 이정재 (단국대학교 의과대학 정신의학교실)
  • Yoon, Yeosong (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Paik, Ki Chung (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lee, Kyung Kyu (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lee, Seok Bum (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Kim, Kyung Min (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lee, Jung Jae (Department of Psychiatry, College of Medicine, Dankook University)
  • 투고 : 2018.10.05
  • 심사 : 2018.10.29
  • 발행 : 2018.12.31
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초록

연구목적 본 연구에서는 독거노인에서의 비처방 일반의약품의 사용행태를 조사하고 그 예측 인자를 확인하고자 하였다. 방 법 본 연구는 일 지역에 거주하는 독거노인 1,099명을 대상자로 시행되었다. 비처방 일반의약품의 사용행태, 인구사회학적 정보, 신체 건강상태(Cumulative illness rating scale, CIRS), 인지기능, 기분 장애 등을 자가설문지와 훈련된 간호사의 면담을 통해 조사하였다. 통계분석은 비처방 약물 사용행태나 인구학적 변인에 대해서는 기술적 통계분석을 시행하였으며 비처방 약물 사용과 관련된 예측인자를 확인하기 위해 로지스틱 회귀분석을 사용하였다. 결 과 전체 대상자의 35.4%가 비처방 약물을 복용하고 있었으며 진통제는 가장 많이 처방되는 약물로서 비처방 약물 복용군의 38.3%가 진통제를 처방받았다. 우울증(OR=1.44, 95% CI=1.10~1.87)과 누적질환평가척도(Cumulative illness rating scale, CIRS)로 측정한 신체건강 중증도(OR=1.08, 95% CI=1.03~1.12)가 비처방 약물 사용과 유의한 상관성이 있었다. 결 론 독거노인에게서 우울장애와 신체건강 중증도는 비처방 약물 사용의 예측인자가 될 수 있으며 임상가는 노인의 비처방 약물의 사용에 대해 주의를 기울여야 한다.

Objectives : This study aimed to describe the use of over-the-counter (OTC) drugs and to identify predictors for their use in the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,099 subjects. Data regarding socio-demographic status, medical condition, cognition, mood disorder and use of OTC drugs were collected using self-administered questionnaire and from a specific semi-structured interview by a trained nurse. Data regarding use of OTC drugs were analyzed using descriptive statistics. Logistic regression analysis was applied to examine factors associated with the use of OTC drugs. Results : The use of OTC drugs were reported by 35.4% of the subjects. Analgesics (13.6%) was the most frequent drugs. Depression (OR=1.10, 95% CI=1.10-1.87) and comorbidities measured by cumulative illness rating scale (CIRS) (OR=1.08, 95% CI=1.03-1.12) were significantly associated with the use of OTC drugs in the elderly living alone. Conclusions : Depression and severity of underlying medical conditions could be a predictor of the use of OTC drugs in the elderly living alone. The clinicians should be vigilant regarding the potential use of nonprescription medications in the elderly.

키워드

Table 1. Sociodemographic and clinical characteristics of the study subjects

JSSCBG_2018_v26n2_172_t0001.png 이미지

Table 2. Underlying medical conditions of the study subjects

JSSCBG_2018_v26n2_172_t0002.png 이미지

Table 3. Frequency of nonprescription medication use (n=389)

JSSCBG_2018_v26n2_172_t0003.png 이미지

Table 4. Risk factors of the use of nonprescription medications

JSSCBG_2018_v26n2_172_t0004.png 이미지

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