抗精神病药物监管对疗养院精神药物处方行为的影响。

The impact of antipsychotic drug regulations on psychotropic prescribing practices in nursing homes.

作者信息

Rovner B W, Edelman B A, Cox M P, Shmuely Y

机构信息

Department of Psychiatry and Human Behavior, Jefferson Medical College, Philadelphia, PA.

出版信息

Am J Psychiatry. 1992 Oct;149(10):1390-2. doi: 10.1176/ajp.149.10.1390.

DOI:10.1176/ajp.149.10.1390

PMID:1530076

Abstract

The authors prospectively studied psychotropic prescribing practices and quality assurance data in 17 nursing homes in the Baltimore area to assess the impact of federal antipsychotic drug regulations. There was a 36% reduction in prescriptions for neuroleptics over 6 months, no increase in prescriptions for sedative/hypnotics, and a small increase in prescriptions for antidepressants. The authors conclude that psychotropic drug prescribing practices and patient outcomes remain important areas of study in nursing homes.

摘要

作者对巴尔的摩地区17家养老院的精神药物处方实践和质量保证数据进行了前瞻性研究，以评估联邦抗精神病药物法规的影响。在6个月的时间里，抗精神病药物的处方减少了36%，镇静/催眠药物的处方没有增加，而抗抑郁药物的处方略有增加。作者得出结论，精神药物的处方实践和患者预后仍然是养老院研究的重要领域。