a School of Health Professions, Murdoch University , Murdoch , Australia and.
b School of Medicine, University of Queensland , Brisbane , Australia.
J Ment Health. 2018 Feb;27(1):23-29. doi: 10.1080/09638237.2016.1222060. Epub 2016 Oct 1.
Currently, little is known about mental health nurses' management of antipsychotic medication side effects.
This study examined how Australian mental health nurses' attitudes and service processes influence the assessment of antipsychotic medication side effects.
Participants were included if they were registered nurses in Australian mental health settings. An online questionnaire was distributed via email. Multivariate logistic regression was used to examine associations between attitudes and awareness, and use of antipsychotic medication assessment tools.
Only one quarter of the respondents were currently using a tool. In cases where the service had a clear system for agreeing responsibility about monitoring consumers between primary and secondary care, respondents were three times more likely to still be using one or more tool. When the service had reliable systems in place to remind staff that side effect assessments were due, respondents were five times more likely to continue using assessment tools.
Australian mental nurses are not routinely using antipsychotic medication side effect assessment tools. The routine use of assessment tools would improve if systems were implemented to enhance their use.
目前，对于精神科护士如何管理抗精神病药物副作用知之甚少。
本研究旨在探讨澳大利亚精神科护士的态度和服务流程如何影响抗精神病药物副作用的评估。
参与者需为澳大利亚精神卫生机构的注册护士。通过电子邮件在线分发问卷。采用多变量逻辑回归分析态度和意识与抗精神病药物评估工具的使用之间的关联。
只有四分之一的受访者目前正在使用工具。当服务部门有明确的系统来商定初级和二级护理之间监测消费者的责任时，受访者使用一种或多种工具的可能性要高出三倍。当服务部门有可靠的系统来提醒工作人员需要进行副作用评估时，受访者继续使用评估工具的可能性要高出五倍。
澳大利亚精神科护士并未常规使用抗精神病药物副作用评估工具。如果实施系统来增强其使用，将更有助于常规使用评估工具。
