Michaels R A, Mumford K
Arch Psychiatr Nurs. 1989 Apr;3(2):97-101.
This study examines the relationship between the self-reports of 96 out-patients at four community mental health centers and nursing assessments of these same patients regarding drug-induced akinesia and akathisia. Akinesia, diminished spontaneity characterized by motor slowness and stiffness, and akathisia, a feeling of inner restlessness, are common but often misdiagnosed side effects of neuroleptics. Significant positive correlation was found between self-reports and nursing assessments. Data indicate that specific subjective responses as well as systematic clinical examination should be included when assessing for drug-induced akinesia and akathisia.
本研究调查了四个社区心理健康中心的96名门诊患者的自我报告与针对这些相同患者的药物诱发运动不能及静坐不能的护理评估之间的关系。运动不能是指以运动迟缓及僵硬为特征的自发活动减少，而静坐不能是指一种内心不安的感觉，它们都是常见但常被误诊的抗精神病药物副作用。研究发现自我报告与护理评估之间存在显著正相关。数据表明，在评估药物诱发运动不能及静坐不能时，应纳入特定的主观反应以及系统的临床检查。
