Baker J A, Lovell K, Harris N, Campbell M
School of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
J Psychiatr Ment Health Nurs. 2007 Aug;14(5):478-84. doi: 10.1111/j.1365-2850.2007.01112.x.
There is a limited evidence base for the use of pro re nata (PRN) 'as required' psychotropic medication within acute mental health settings. This study aimed to explore expert opinion concerning issues and best practice for the prescribing and administration of psychotropic PRN medications within acute inpatient mental health settings. Eighteen experts participated in three Delphi rounds of a modified Delphi panel to establish consensus. A total of 271 items were initially generated from four questions. As a result of the consensus process the number of items retained reduced to 78, then 34 items and finally 13 items. Clinicians' practice could be informed by the 13 recommendations established by the Delphi panel. Further research is required to establish the clinical effectiveness of these recommendations.
在急性心理健康环境中按需使用“必要时”（PRN）精神药物的证据基础有限。本研究旨在探讨关于在急性住院心理健康环境中开具和使用PRN精神药物的问题及最佳实践的专家意见。18名专家参与了一个经过改进的德尔菲小组的三轮德尔菲调查，以达成共识。最初从四个问题中总共生成了271个项目。经过共识达成过程，保留的项目数量依次减少到78个、34个，最后是13个。德尔菲小组制定的13项建议可为临床医生的实践提供参考。需要进一步研究以确定这些建议的临床有效性。
