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目的:了解军队离退休人员慢性病患病率及疾病构成、非住院期间用药情况及相关因素。方法:采用问卷调查与访谈相结合的方法,对某疗养院疗养的782例离退人员进行调查,统计其慢性患病率及疾病构成、用药数量和费用及影响用药因素。结果:有734例(93.7%)患慢性疾病。人均服药5.14种,其中每天服药1～3种244例(34.8%),4～6种305例(43.51%),7种以上157例(22.4%)。药品费用平均每天24.03元,其中用于治疗药物的费用为17.25元(71.8%),保健性用药费用为6.78元(28.2%)。医师是影响药物选择的主要因素,其中治疗用药听从医嘱占95.2%,保健用药占47.2%。结论:离退休人员非住院期间用药种类多、平均费用较高与慢性病患病率高和保健意识较强密切相关。
Objectives: To understand the prevalence of chronic diseases and disease composition among retired military personnel, the use of drugs during non-hospitalization and related factors. Methods: By means of a combination of questionnaires and interviews, 782 retirees from a nursing home were investigated for their chronic prevalence and disease composition, the quantity and cost of medication, and the factors influencing medication use. Results: There were 734 cases (93.7%) of chronic diseases. Per capita consumption of 5.14 kinds of drugs, of which taking 1 to 3 kinds of 244 cases (34.8%) daily, 4 to 6 kinds of 305 cases (43.51%), 7 kinds of 157 cases (22.4%). The average cost of medicines was $ 24.03 per day, of which the cost of medicine for treatment was 17.25 yuan (71.8%) and the cost of health care medicine was 6.78 yuan (28.2%). Physicians are the main factors affecting drug selection, of which 95.2% are for medical treatment and 47.2% are for medical use. Conclusion: There are many kinds of medication for retired staff during non-hospitalization, and the higher average cost is closely related to the high prevalence of chronic diseases and strong awareness of health care.