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[精神病疗养院中的心理药物治疗:神话与现实]

[Psychopharmacotherapy in psychiatric nursing homes: myth and reality].

作者信息

Krüninger Ulrich, Herpich Stefan, Schreiber Wolfgang

机构信息

Bezirksklinikum Mainkofen.

出版信息

Psychiatr Prax. 2004 Nov;31 Suppl 1:S170-2. doi: 10.1055/s-2004-828462.

DOI:10.1055/s-2004-828462
PMID:15570543
Abstract

Isolation and tranquillization are often said to be the main concerns of psychiatric nursing homes. However, little is known about nowadays daily practice. The aim of our study was to investigate the present mode of psychopharmacological treatment in nursing homes serviced by our psychiatric ambulance. For that purpose, a standardized questionnaire was applied. There was slight trend in favour of atypical antipsychotics (49 %) as opposed to conventional neuroleptics (46 %). In 18 % of the patients, a combination of both atypical and conventional antipsychotics was administered, while only in 5% two or more conventional neuroleptics were given at the same time. Taken together, we could assure a modern psychopharmacotherapy trying to optimize the individual level of cognitive and psychosocial functioning.

摘要

隔离与镇静常被认为是精神病疗养院的主要关注点。然而,对于如今的日常实践却知之甚少。我们研究的目的是调查由我们的精神科救护车服务的疗养院中目前的精神药物治疗模式。为此,应用了一份标准化问卷。与传统抗精神病药物(46%)相比,有轻微倾向于非典型抗精神病药物(49%)。在18%的患者中,同时使用了非典型和传统抗精神病药物,而只有5%的患者同时使用了两种或更多种传统抗精神病药物。总体而言,我们可以确保采用现代精神药物治疗,试图优化个体的认知和心理社会功能水平。

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