在社区精神卫生中心，由高级实践注册护士（APRNs）和精神科医生治疗的患者以及所开药物的异同。

Similarities and differences in clients treated and in medications prescribed by APRNs and psychiatrists in a CMHC.

作者信息

Fisher Sue Ellen, Vaughan-Cole Beth

机构信息

Valley Mental Health and the University of Utah, Salt Lake City, UT 84101, USA.

出版信息

Arch Psychiatr Nurs. 2003 Jun;17(3):101-7. doi: 10.1016/s0883-9417(03)00053-0.

DOI:10.1016/s0883-9417(03)00053-0

PMID:12840802

Abstract

This study is part of a larger study comparing prescribing practices of psychiatrists and advanced practice psychiatric nurses (APRNs) using the following three groups of patients: patients treated by psychiatrists, those treated by APRNs, and those treated by both APRNs and psychiatrists at different times in 1 year. Demographics for 5507 patients were examined. A subsample of APRNs and psychiatrists prescribed similar total numbers of medications. Psychiatrists prescribed more types of antidepressant medications other than the SSRI antidepressants, and they prescribed more than twice the number of benzodiazepines. APRNs prescribed more SSRIs and spent more time with clients during medication visits.

摘要

本研究是一项更大规模研究的一部分，该研究比较了精神科医生和高级执业精神科护士（APRN）的处方行为，研究对象分为以下三组患者：由精神科医生治疗的患者、由APRN治疗的患者，以及在1年中不同时间由APRN和精神科医生共同治疗的患者。研究人员检查了5507名患者的人口统计学数据。APRN和精神科医生的一个子样本开出的药物总数相似。精神科医生开出的除SSRI类抗抑郁药之外的其他抗抑郁药种类更多，且他们开出的苯二氮䓬类药物数量是APRN的两倍多。APRN开出的SSRI类药物更多，且在药物诊疗过程中与患者相处的时间更长。