Utilization and Influencing Factors of Hypnotics among Disabled Elderly in Taiwan
| Autor: | Shao-Yi Wen, 溫劭宜 |
|---|---|
| Rok vydání: | 2007 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 95 To understand the hypnotic drug use among disabled elderly in Taiwan, the objects and information was obtained from the “Evaluation of Taiwan National Requirements for Long-Term Care”. This data was linked to the National Health Insurance claim database to obtain all prescription data from western medical ambulatory visits between July 2001 and June 2002. The prevalence rate of hypnotic drug use among disabled Taiwanese elders were 30.1%. The most popular hypnotic drug was lorazepam, followed by zolpidem, estazolam, zopiclone, diazepam. 30.9% of hypnotic users use hypnotics more than 180 days during the study year, and more than half users use hypnotics more than 28 days continuously. 17.1% of hypnotic users used more than one kind hypnotics in the same day, and about 15.5% of users used potentially inappropriate hypnotics. In multivariate logistic regression models, female, age between 65-74 years old, married, dwelling in community with a fulltime caregiver(OR=1.716), and with heart disease, stroke, psychiatric diseases(OR=2.231), parkison’s disease and cancer, only IADL disabled(OR=1.452) and more than 3 kinds of chronic diseases were more likely to use hypnotics. Significant correlates of continuous use more than 28 days were mainlanders, living in big cities, higher education, dwelling in community with a fulltime caregiver(OR=1.505), and with heart disease, stroke, psychiatric diseases(OR=1.926), having serious disabled(OR=1.479). Significant correlates of multiple hypnotic use dwelling in community with a fulltime caregiver(OR=1.377), psychiatric diseases(OR=2.628), seriously disabled. Patients who were seriously disabled were more likely to have potentially inappropriate hypnotic use(OR=1.930). |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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