경북지역 재가노인의 약물사용 실태

장인순 노인간호학회 2007 노인간호학회지 Vol.9 No.1

Purpose: This study was done to analyze the status of drug use in elderly people in KyongBuk province. The results of the study will provide basic information for the development of nursing interventions to promote proper drug use. Method: The study participants were 244 people over the age of 65. The instrument used was a structured questionnaire. Descriptive statistics, chi-test and Spearman correlation coefficient were used to analyze the data. Results: The rate of drug use was 96.7%, with a mean of 3.37 drugs per person: 66.3% were taking both prescription and non-prescription drugs, 20.6%, prescription drugs only, and 9.9%, non-prescription drugs only. The rate of drug misuse was 82.3%. Both groups using prescription drugs and those using non-prescription drugs showed higher rates in almost all types of drug misuse activity compared to the group who only used prescription drugs. There was a positive correlation between the rate of drug misuse and the total number of drug used (p=0.001). The correlation rate between the rate of drug misuse and the number of non-prescription drug use was p=0.000. Conclusion: This study suggests that medical professionals should put more effort into educating patients about the proper use of prescription drugs and develop nursing interventions to reduce drug misuse in the community.

일반 의약품 오·남용 방지를 위한 패키지 디자인 연구 - 위장약, 파스류를 중심으로 -

이경수 한국브랜드디자인학회 2012 브랜드디자인학연구 Vol.10 No.4

일반의약품은 소비자가 신문, 잡지, TV, 라디오 등의 광고를 보고 일반슈퍼 및 약국에서 자유구매 및 지정구매 할 수 있다. 이러한 연유로 일반소비자의 자가 진단 및 일반의약품 지정 구매에 따른 약물 오·남용이 심각하게 증대되고 있다. 우리나라의 경우 2012년 11월 15일 가정상비약 편의점 판매 시행하여 안전상비의약품으로 결정된 품목 해열진통제 5품목, 감기약 2품목, 소화제 4품목, 파스류 2품목 등 13개 품목이며, 일반의약품 중 안전성에 특별한 문제가 없는 일부를 편의점 등 소매점에서 쉽게 구매할 수 있도록 의약외품으로 전환한 연고제, 액상소화제, 정장제 등 외용제, 자양강장 드링크류 등 48품목 등은 소비자가 자유 구매가능하여 일반의약품 구입에 제한이 거의 없는 상황이고, 의약품분류기준의 한계로 인해 전문의약품에 가까운 약품들이 일반의약품으로 분류되어 있는 경우가 많은 것이 현실이다. 따라서 일반의약품의 패키지디자인은 효능·효과별 식별이 용이해야 되고, 용법·용량 및 주의사항 등의 정보를 정확하게 전달하여 일반의약품의 오·남용을 방지하여야 한다. 본 연구에서는 국내·외 일반의약품의 현황과 사례의 비교분석을 통하여 일반의약품 오·남용 방지를 위한 시각커뮤니케이션 방법으로 일러스트레이션(Illustration), 픽토그램(Pictogram), 다이어그램(Diagram), 카이(Khi), P.O.P(point of purchase) 등을 제시하였으며, 그 이용 범위를 일반의약품 패키지디자인에 한정하고 특히 일반의약품에 어떻게 계획되어야 효과적인 기능을 발휘하며, 역할을 다할 수 있는가를 연구하였다. Consumers can purchase necessary general drugs personally at a drugstore through advertisements in newspapers, magazines, TV and radio. For this reason, there is a serious increase in misuse and abuse of drugs among consumers due to self-diagnosis and personal purchase of general drugs. In Korea, one can purchase general drugs almost without limitation and a lot of drugs close to prescription drugs are in reality categorized into general drugs due to limitations of the standards for drug classification. Therefore, the package design for general drugs should enable easy identification by effectiveness and efficacy and deliver correct information on usage, dosage, and cautions in order to prevent misuse and abuse of general drugs. In the case of Korea, the reality is that if a lot of drugs to the nearest specialized drugs that are classified as generic medicines due to the limitations of the situation is not nearly limited to the purchase of generic medicines and drugs classification criteria. Therefore, the package design of generic drugs efficacy and identify the specific effects will be easy, Dosage and Precautions accurately convey the information of generic drugs abuse and misuse be prevented. After this comparative analysis of the actual conditions and cases of domestic and foreign general drugs, illustration, pictogram, diagram, khi, point of purchase (P.O.P) of visual communication to prevent misuse and abuse of general drugs; it is then considered how to set limits to the use in package design, particularly, for general drugs in order to enable them to act effectively and fulfill their role.

국내외 의약품 안전 및 적정사용을 위한 정책의 고찰

이가비,강혜영 한국보건사회약료경영학회 2016 한국보건사회약료경영학회지 Vol.5 No.1

OBJECTIVES: We investigated types of prevention policies and activities for safe and appropriate use of medications in Korea and selected countries, in order to derive suggestions for effective prevention strategies. METHODS Literature search was conducted for peer-reviewed journals and web-site of selected institutions using key words of “safe use of medication”, “drug & abuse,” and “dug & misuse.” RESULTS In Korea, major policies operated by central governments include: separation policy between drug prescribing and dispensing, drug product serial number system, re-classification of drugs, integrated management system for narcotic drugs, designation of potential drugs for misuse and abuse, assessment for appropriateness of drug use, and drug utilization review. Local governments have various activities collaborated with healthcare professional associations. In U.S.A, National Survey of Drug Use and Health is carried out annually. Japan sets national strategy to decrease drug abuse and misuse every 5 years, focusing on prevention of drug abuse among adolescents, demolition of illegal trade of drugs, cooperation with international agencies, and prevention of recurrence of drug addict. Active roles of community pharmacies are observed in European countries. Compared to Korea, most of the foreign countries require school to educate students about preventing drug abuse. CONCLUSION Several suggestions were made to improve the effectiveness of prevention strategies in Korea. First, more class hours should be assigned to educate students for drug abuse problems. Second, national survey for drug use among the public would be useful to identify potential problems of drug abuse. Third, more active role of pharmacists in community pharmacy setting would be also helpful.

마약류 중독예방사업의 활성화 방안

박성수 한국중독범죄학회 2022 한국중독범죄학회보 Vol.12 No.4

The problem of narcotics worldwide is very serious. Moreover, strong punishment policies for this are causing a lot of costs. Above all, the criminal justice approach has its limitations as a method for eradicating harmful drugs such as drugs. Education is very important above all else to prevent narcotics addiction. Such preventive education is found to be more cost-effective than punishment or treatment rehabilitation. The most effective educational method can be said to be prevention through 'school education'. Drug addiction and drug misuse begin with curiosity. However, it gradually goes beyond the stage of abuse and progresses to the stage of drug addiction. In the end, since this leads to drug crimes, preventive measures must be taken in the early stages. However, so far, we do not seem to have a firm commitment and policy in place for drug addiction prevention projects. Considering that most of the drug addiction recurs and the recidivism rate is also very high compared to other violent crimes, establishing rehabilitation measures and preventive education are essential. As a way to promote drug addiction prevention projects to reduce social costs, this study first suggested recognizing the importance of drug abuse and establishing integrated national prevention policies, secondly encouraging active participation of community-centered prevention projects, and finally strengthening prevention education at school and home. 전세계적으로 마약류의 문제는 심각한 수준이며 이에 대한 강력한 처벌정책은 많은 비용을 초래하고 있다. 무엇보다 마약류 등 유해약물 근절을 위한 방법으로 형사사법적 접근은그 한계를 가지고 있다는 것이 밝혀지고 있다. 마약류 중독을 예방하기 위해서는 무엇보다교육이 매우 중요하다. 이러한 예방교육은 처벌이나 치료재활보다 비용대비 예방효과가 효율적인 것으로 나타나고 있다. 가장 효과적인 교육방법으로는 ‘학교교육’을 통한 예방이라할 수 있다. 마약류 중독 및 약물 오·남용은 처음 호기심으로 시작한다. 하지만 점차 남용단계를 넘어 약물중독의 단계로 진행되어가며 이는 마약류 범죄로 이어지게 때문에 반드시 초기단계에서 예방대책을 강구되어야 할 것이다. 하지만 아직까지 우리는 마약류 중독예방사업에 대한 확고한 의지와 정책마련이 준비되어있지 않은 것 같다. 마약류 중독은 거의 대부분이 재발되며 재범률 또한 다른 강력범죄에 비해 매우 높은 것을 고려해 봤을 때 재활 대책 수립과 예방교육은 필수적이라고 할 수 있다. 이에 본 연구는 사회적 비용절감을 위한 마약 중독예방사업 활성화 방안으로 국가적 측면에서 마약류 오남용의 예방홍보강화 중요성 인식과 국가차원 통합적 예방정책 수립, 둘째, 지역사회적 측면에서 지역사회 중심 예방사업 강화 적극적인 지역사회 구성원 참여 독려, 마지막으로 개인적 측면에서 학교와 가정에서의 예방교육 강화방안을 제시하였다.

마약류별 범죄의 실태 및 2차 범죄 분석에 관한 연구

안상원,권일용 한국중독범죄학회 2016 한국중독범죄학회보 Vol.6 No.1

본 논문은 국내 마약류별 범죄 및 실태를 살펴보고, 실태와 분석 연구를 하여 향후 정책적 제언을 위해 기초적인 연구가 되고자 하였다. 대검찰청, 경찰청, 한국마약퇴치 운동본부 등 관련기관의 기초적 자료와 실증적인 선행연구를 기반으로 하여 실태조사 및 분석을 실시하였다. 실태는 마약류별 단속현황을 통해 마약류 사범의 추이를 살펴보았으며, 헤로인·코카 인·향정신성의약품·대마 등 마약류 별 검거 및 압수 현황을 살펴보았다. 이를 통해, 마약류 밀수입 사례와 마약을 사용한 2차적 범죄 사례를 통해 사례 분석을 실시하였 다. 연구 결과를 요약하면, 마약류 및 약물남용에 대한 개인적 인식이 결여되어 있었으 며, 마약류 중 향정신성의약품 관련 처벌 미약으로 나타나고, 마약류 밀수입 및 투약 후 2차 범죄의 증가에 따른 사회적 문제를 나타냈다. In this paper, we look at the actual situation of the domestic drug crime, and research actual situation and the analysis, was trying to become the basic research for the future of the policy recommendations. Prosecution Service, the National Police Agency, was conducted a survey and analysis on the basis of empirical previous studies and fundamental data of the relevant agencies such as the Korean Association Against Drug Abuse. Actual situation has examined the development of drug offenses through a drug-star crackdown current state. And we discussed the arrest and seizure status of drugs such as heroin, cocaine, psychotropic drugs, cannabis. It was carried out case analysis through this by a secondary crime case with smuggling cases and drug. To summarize the research results, and the lack of personal awareness of drugs and drug abuse, are displayed in punishment weak on psychotropic drugs of narcotics, society due to the increase of secondary crime after dosing and the smuggling of drugs such It showed the problems.

Factors Associated with Medication Adherence among the Elderly in the Community

Kim, Myungsook,Kim, Yeonok 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): This study is a descriptive investigation study to identify the impact factors of the subjective health status, communication with medical personnel and drug misuse on medication adherence. Method(s): The subjects of this study were 179 senior citizens who used community elderly welfare centers. Data were collected from January 13, 2020 to January 17, 2020. If there was difficulty in completing the questionnaire due to difficulty in understanding or accompanied by decreased visual acuity, the researcher read and wrote the questionnaire. Data analysis was performed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson"s correlation coefficients and multiple regression analysis. Result(s): The regression equation of this study explained 24% of medication adherence. Drug misuse(β=-4.32, p=<.001) was the factor that had the greatest influence on the medication adherence, followed by the presence or absence of chronic disease (β=-3.04, p=.003), marital status (β=2.64, p=.009), and communication with medical personnel (β=2.26, p=.025 ) in that order. Conclusion(s): There was a positive correlation between medication adherence and communication with medical staff. There was a negative correlation between drug misuse and communication with a medical staff. There was a negative correlation between medication adherence and drug misuse.The factors that had the most influence on the medication adherence were drug misuse, presence of chronic disease, marital status, and communication with medical staff in that order. It is significant in that it is presented as a basic data for providing programs that can reduce drug misuse for the elderly and increase medication adherence by improving communication with medical staff. A program is required to promote the medication adherence among the elderly welfare center in the local community.

일개 지역사회 거주 노인의 의약품 오남용 실태

정서혜,한종숙 한국농촌간호학회 2017 한국농촌간호학회지 Vol.12 No.1

Purpose: This study was done to investigate the status of drug misuse and abuse in community-dwelling elders. Methods: The participants in this study were elders who were 65 years or over, and lived in ChungNam province. Descriptive statistics were used to analyze the data. Results: All of the participants reported taking both prescription and non-prescription drugs, and 78.4% used two or more kinds of drugs. Of the elders, 74.5% reported that they did not receive any education about drug misuse and abuse. The mean score for behaviors related to drug misuse was 8.76. Conclusions: Results indicate that many elders take medicine frequently, but they do not have any knowledge about drugs and possible side effects. This lack of knowledge might mean that they continue to use and misuse prescription and non-prescription drugs. It is important that elders be provided with precise information about medicines.

A survey of the use of veterinary anesthetics in Korea

Lee, Jae-Won,Lee, Jeong Ik,Cho, Yoon Ju,Lee, Young-Ah,Kim, Jong-In,Hwang, Bo Ram,Kim, Hyung Joon,Jhun, Hyunjhung,Han, Jin Soo The Korean Society of Veterinary Science 2014 大韓獸醫學會誌 Vol.54 No.2

This study was conducted to investigate actual conditions associated with veterinary anesthetic drug use in Korea, and to obtain responses from Korean veterinarians and researchers pertaining to the use of anesthetic drugs. To accomplish this, a nationwide survey was issued to veterinarians working at animal hospitals and to researchers in the Korean Association for Laboratory Animal Science (KALAS). A self-administered questionnaire-based survey was then conducted in which respondents were asked questions about actual conditions associated with the use of animal anesthetic drugs. The survey revealed that the distribution and management of animal medicines in Korea was quite vulnerable to misuse or abuse due to a variety of factors. Therefore, a relevant regulatory system should be strictly enforced to protect vulnerable individuals from abuse or misuse.

제약산업에서의 경쟁법에 의한 지적재산권 남용행위 규제 -EU 사례분석-

최난설헌 ( Nan Sul Hun Choi ) 한국경쟁법학회 2013 競爭法硏究 Vol.27 No.-

AstraZeneca decision is of significance from the perspective of patent application under competition law. This decision has served as momentum to analyze patent application strategy to delay generic drugs` entrance into the market and impeding activities against competitors` R&D. Such strategy and activities were found to be potentially anti-competitive by “the Pharmaceutical Sector Inquiry Final Report” of the European Commission. AstraZeneca decision confirmed the principle of competitive law theory that a patent application could be abuse of a dominant position under TFEU Art. 102, if the patent application influences directly the competitiveness of a relevant market. In addition, it was confirmed by recent decisions of the General Court of the European Union (2010) and Court of Justice of the European Union (2012) as well that responsibilities under competition law are not exempted even if there is a legal right from patent law. However, in order to impose liability, it should be proven the fact that price competition is lessened in the market or damage that competitors` innovative incentive is impeded under competition law. Currently, the pharmaceutical industry is still affected by strong and close probes by the Pharmaceutical Sector Inquiry. It is partially because of the fact that the pharmaceutical industry is a main target of competition law enforcement and partially because of influence of AstraZeneca and Boehringer-Ingelheim. In Korea, in the pharmaceutical industry, since multi-national companies exercise strong power in technology, domestic companies are situated as “absolutely weak market players.” Even large domestic pharmaceutical companies usually produce generic drugs. Therefore, it is more likely that unfair transactions in terms of patents can take place between multi-national companies and domestic companies or between domestic large companies and domestic small companies. In particular, it is high time to monitor and regulate abuse of patents by multi-national companies and domestic large companies. For these reasons, European Commission(EC)`s pharmaceutical sector inquiry, EC`s investigation and regulation, the AstraZeneca decision of the General Court and Court of Justice of European Union is very suggestive to and policies in patent law and competition law in Korea.

문헌고찰을 통해 본 의약분업정책 10년의 성과 평가

이창우 ( Chang Woo Lee ),신의철 ( Eul Chul Shln ),박소정 ( So Jung Park ),김호종 ( Ho Jong Kim ),김원식 ( Won Shlk Kim ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.2