减少疗养院患者抗精神病药物的处方量：一次教育访问效果的对照试验
Reducing antipsychotic drug prescribing for nursing home patients: a controlled trial of the effect of an educational visit.
作者信息
Ray W A, Blazer D G, Schaffner W, Federspiel C F
机构信息
Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN 37323.
出版信息
Am J Public Health. 1987 Nov;77(11):1448-50. doi: 10.2105/ajph.77.11.1448.
Abstract
We conducted a statewide, controlled trial of the efficacy of an educational visit in reducing antipsychotic drug prescribing for nursing home patients. Frequent antipsychotic drug prescribers were visited by a trained physician counselor who stressed known drug risks for elderly patients and suggested techniques for reducing antipsychotic drug use. Although well-received, the visit did not reduce antipsychotic drug prescribing. This negative finding suggests that future interventions address factors within the nursing home which encourage antipsychotic drug use.
摘要
我们在全州范围内进行了一项对照试验，以评估一次教育性探访对于减少疗养院患者抗精神病药物处方的效果。频繁开具抗精神病药物的医生会接受一位训练有素的医生顾问的探访，该顾问会强调已知的老年患者用药风险，并提出减少抗精神病药物使用的技巧。尽管此次探访受到了好评，但并未减少抗精神病药物的处方量。这一负面结果表明，未来的干预措施应针对疗养院中促使抗精神病药物使用的因素。
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