Millikin University, Decatur, IL 62522, USA.
J Am Psychiatr Nurses Assoc. 2012 Mar-Apr;18(2):82-90. doi: 10.1177/1078390312438768.
Despite the known risks and the widespread administration of PRN (pro re nata or "as needed") psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpharmacologic interventions to manage symptoms in older adults hospitalized in two acute care geropsychiatric settings. A retrospective chart audit was conducted. A major finding was the lack of documentation regarding PRN administration. In 81.3% of cases at Site A and 55.3% of cases at Site B, no reason for administration was documented. No medication response was documented in 92.4% of cases at Site A and 47.5% of cases at Site B. No nonpharmacologic interventions were documented for 69% of Site A patients or 64% of Site B patients. To ensure patient safety and to inform best clinical practice, the lack of documentation surrounding administration of PRN medications and nonpharmacologic interventions must be resolved.
尽管在住院环境中使用 PRN（pro re nata 或“按需”）精神药物存在已知风险且广泛应用，但对于住院老年患者使用这些药物的情况却知之甚少。本探索性描述性研究调查了在两家急性照护老年精神病学环境中住院的老年患者使用 PRN 精神药物和非药物干预措施来控制症状的情况。进行了回顾性图表审查。一个主要发现是缺乏关于 PRN 给药的记录。在 A 点的 81.3%和 B 点的 55.3%的病例中，没有记录给药的原因。在 A 点的 92.4%和 B 点的 47.5%的病例中，没有记录药物反应。对于 A 点的 69%或 B 点的 64%的患者，没有记录非药物干预措施。为了确保患者安全并为最佳临床实践提供信息，必须解决围绕 PRN 药物和非药物干预措施给药的记录不足的问题。
