Haberfellner E M, Rittmannsberger H
Nervenarzt. 2006 Mar;77(3):333-7. doi: 10.1007/s00115-005-1897-6.
Patients can provide appropriate and legally valid consent to treatment with antipsychotics only if they received adequate information on the risk of tardive dyskinesia (TD) and have the capacity to give informed consent.
Eighty-seven patients in a psychiatric practice undergoing treatment with antipsychotics were interviewed for their level of information regarding TD and were subsequently provided with additional information on TD as needed. Three months after provision of this information, the interview was repeated.
Though 82% of the patients had read the patient information leaflet and 44% had already received previous information, only 17% were found to be informed. The proportion of informed patients increased to 72% at the second interview. Among patients remaining uninformed despite previous information, a statistically significant higher proportion of elderly patients and patients with marked psychopathological impairments was found.
Schizophrenic patients' knowledge on TD is low. With appropriate oral information being provided patients' knowledge can be considerably improved in the short run.
只有当患者获得关于迟发性运动障碍(TD)风险的充分信息并有能力给予知情同意时,他们才能对使用抗精神病药物治疗提供适当且具有法律效力的同意。
对87名正在接受抗精神病药物治疗的精神科患者就其关于TD的信息水平进行访谈,并随后根据需要向他们提供关于TD的额外信息。提供此信息三个月后,重复进行访谈。
尽管82%的患者阅读了患者信息手册,44%的患者之前已经收到过相关信息,但只有17%的患者被认为了解情况。在第二次访谈时,了解情况的患者比例增加到了72%。在尽管之前已获得信息但仍不了解情况的患者中,发现老年患者和有明显精神病理损害的患者比例在统计学上显著更高。
精神分裂症患者对TD的了解程度较低。通过提供适当的口头信息,患者的知识水平可在短期内得到显著提高。