EXPLORATION OF SELF-REPORTED HEALTH CARE UTILIZATION AND HEALTH STATUSES AMONG TAIWANESE HYPERTENSIVE ELDERLY 初探臺灣高血壓老年人自述醫療照護使用及健康狀態

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3 自臼臼口口臼皂白

台灣老年學暨老年醫學會， 20/ 之

.國

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XPLORATION OF SELF-REPORTED HEALTH CARE

UTI

Ll

ZA TION AND HEAL TH STATUSES AMONG

TAIWANESE HYPERTENSIVE ELDERL Y

初探臺灣高血壓老年人自述醫療照護使用及健康狀態

主立 IW1_， Wu MP2, Lin CH1_, Chang CK1_, Lin CC口， LinHW1_, 2 王值2ζ1 、伍要潰 5 、林志學 2 、張欽凱 3 、林正介 2，4 、林香汶 1 ，5 1 中國醫藥大學附設醫院藥劑部、 2 家庭醫學部、 3 復健部、 4 中國醫藥大學醫學院、 5 藥學系

.us Backgound: The elderly have accounted for more than 10% of the population in Taiwan, This study was initiated to explore the elderly self-reported health care utilization and health statuses among the hypertensive elderly population.

DA S'' , )Ss i1d (R

Methods: We utilized the data obtained from the 2005 National Health Interview Survey 0位ns) in Taiwan. The study subjects contain those who reported to have the diagnosis of HTN among a total of 2

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727 randomly sampled elder1y individuals (i.e.

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age

孟 65 years). The descriptive analysis with sampling weights was applied on data including basic demographics, self-reported health sta個s (ADL, IADL, CED-S, and h心的Eetc.) and health care utilization.

Results: While 42.8% of the survey participants reported to have HTN (accounted for 907

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062 Taiwanese elderly)

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they were about 74.1::1:6.1 years old and 53.6% were female. 89% of them were prescribed with antihypertensive agents, 85% took medications regular1y

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and 21% perceived poor control of HTN. Up to 25% had other co-morbidities (e.g., DM), and 24% had fall events. For the past one year, up to 23% had visited the inpatient and emergency departments, and less than 5% had utilized long term care services. While 21% had CES-D score more than 10 (indicating potential of depression), 4 to 25% reported to take sedatives, hypnotics, painkillers, and dietary supplements. 17% had somewhat difficulties on at least one general activities of daily living, 47% had difficulties on at least one instrumental activity. 9% of those who completed MMSE may had cognitive impairment

Conclusion: For those elderly population perceived to have hypertension,

substantial portion of them were warranted for their comprehensive elderly care regarding their medication use for HTN and for central nerves systems, as well as for their health and functional statuses. Further exploration of the associations between HTN control and self-reported health statuses for the elderly is needed.

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