NGHIÊN CỨU TÌNH HÌNH KÊ ĐƠN THUỐC GIẢM ĐAU HỢP LÝ TRÊN BỆNH NHÂN CƠ - XƯƠNG - KHỚP NGOẠI TRÚ NĂM 2025

Abstract

Background: Musculoskeletal disorders often cause persistent pain and impaired physical function, requiring rational analgesic prescribing to optimize treatment effectiveness and minimize adverse effects.

Objective: To determine the prevalence of rational analgesic prescribing among outpatients with musculoskeletal disorders and analyze associated factors.

Materials and methods: A descriptive cross-sectional study was conducted on 300 prescriptions at the Musculoskeletal Clinic, Can Tho Central General Hospital, from March to July 2025.

Results: Patients aged ≥65 years accounted for 77.3%, and females accounted for 56.0%. The most common diagnoses were spondylosis (56.0%), muscle spasm (40.7%), and osteoarthritis (35.7%). Most prescriptions included a combination of two or more analgesics (89.7%). The overall rate of rational analgesic prescribing was 43.3%. By individual criteria, the rates of appropriateness for drug selection, dosage, timing of administration, treatment duration, treatment completeness, and drug interactions were 91.3%, 100%, 57.7%, 99.7%, 73.3%, and 99.0%, respectively. Inappropriate prescribing was mainly related to the timing of administration and inadequate gastrointestinal prophylaxis. Patients aged 18-65 years were significantly more likely to receive rational analgesic prescriptions than those aged ≥75 years (OR=3.84; 95% CI: 2.03-7.25; p<0.001).

Conclusion: The overall rate of rational analgesic prescribing remained low, indicating the need to improve medication-use instructions and gastrointestinal risk prophylaxis.