Lantz M S, Louis A, Lowenstein G, Kennedy G J
Division of Geriatric Psychiatry, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467.
Am J Psychiatry. 1990 Dec;147(12):1637-9. doi: 10.1176/ajp.147.12.1637.
This study clarifies the methodological pitfalls of using cross-sectional data to characterize episodic and continuous patterns of prescribing psychotropic medications in nursing homes. Although more than half of the residents in a teaching nursing home received a psychotropic drug during their 5 years of residence, less than one-quarter were continuously medicated. The authors conclude that although the rates of psychotropic prescriptions are an important entry point for concerns about quality and appropriateness of psychotropic administration to older nursing home residents, longitudinal studies including the prescribing pattern, indications, and efficacy are needed to determine more clinically meaningful indicators of quality care.
本研究阐明了使用横断面数据来描述疗养院中精神药物处方的发作性和连续性模式时存在的方法学缺陷。尽管一所教学型疗养院中超过一半的居民在其居住的5年中接受过精神药物治疗，但持续用药的居民不到四分之一。作者得出结论，虽然精神药物处方率是关注老年疗养院居民精神药物管理质量和适宜性的一个重要切入点，但需要进行包括处方模式、适应症和疗效在内的纵向研究，以确定更具临床意义的优质护理指标。
