Journal of Japanese Association for Home Care Medicine
Online ISSN : 2435-4007
Original Paper
Survey of patients' families' views on polypharmacy in home medical care and factors related to patient status
Ichiro ShimizuShunichi FukudaKiyoshi DokiTakeshi YanagidaYoshihito OkamotoMasayoshi KoinumaTomohide AkaseTakahide Yamaguchi
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2021 Volume 2 Issue 2 Pages 27-36

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Abstract

Patients' families' views on polypharmacy in home medical care were investigated using a questionnaire, In cases where consent to either drug increase or decrease was obtained (70% of the respondents), the rate of the patients' hospital visit was low, the medical treatment implementation rate was high, and the degree of dissatisfaction regarding the number of prescribed drugs was low,However, in total, 20% of the patients' families did not want drugs increased, and the intention rate of dying at nonhospitals was high, In particular, for patients who were taking neuropsychiatric drugs, their families tended to feel that the number of regular drugs was too high, On the other hand, a small number of patients' families (10% of respondents) were satisfied with the current prescription ; the home care rate was high, the intention rate of dying at nonhospitals was low, and many patients were prescribed kampo herbal medicines and similar treatments. When the hospital-visit rate was high, the medical treatment implementation rate was low, and the number of neuropsychiatric drugs was large, the patients' families tended not to consent to either drug increase or decrease, Therefore, when reviewing prescriptions, families' views should also be considered.

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© 2021 Japanese association for home care medicine
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