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康复中心精神科药物管理的比率及相关性

Rates and Correlations of Psychiatric Drug Administration in a Rehabilitation Center.

作者信息

Peritogiannis Vaios, Papadopoulou Soultana L, Tatsioni Athina, Kapsalaki Artemis, Siafaka Vassiliki, Kotsi Katerina, Ploumis Avraam

机构信息

Department of Private Practice Psychiatry, University of Ioannina Medical School, University Hospital of Ioannina, Ioannina, Greece.

Department of Orthopaedics and Rehabilitation, University of Ioannina Medical School, University Hospital of Ioannina, Ioannina, Greece.

出版信息

J Neurosci Rural Pract. 2018 Jan-Mar;9(1):56-60. doi: 10.4103/jnrp.jnrp_218_17.

Abstract

BACKGROUND

Physical injury has been associated with the development of several psychopathological manifestations. Less is known about the use of psychiatric medication in those patients.

OBJECTIVES

This study aimed to explore the use of psychiatric medication by patients been admitted in a rehabilitation center in a tertiary care teaching hospital and to inquire for the correlations of such drug administration.

MATERIALS AND METHODS

The sample consisted of 127 patients who had been admitted to a rehabilitation center, being in the postacute phase of their condition during a 2-year period. Patients' medical records were searched for the demographic and clinical information.

RESULTS

Analysis was performed for 118 patients, mostly men (62.7%) with the mean age of 57.5 years. About 43.2% of patients ( = 51) were referred for psychiatric consultation, and 39.8% ( = 47) were prescribed a psychiatric drug. Traumatic brain injury was the diagnosis, positively correlated to referral. Twenty-seven out of the 67 nonreferred patients (40.3%) were prescribed psychiatric regimens by physicians. Nearly 38.1% of patients were diagnosed with a psychiatric disorder by the consultation-Liaison psychiatric service.

CONCLUSIONS

In a rehabilitation center, psychiatric drug administration is common practice and drugs may be prescribed by the center's physicians and by psychiatrists. Such a drug prescription was found to be correlated to referral to the consultation-Liaison psychiatric service.

摘要

背景

身体损伤与多种精神病理学表现的发展有关。对于这些患者使用精神科药物的情况了解较少。

目的

本研究旨在探讨一家三级护理教学医院康复中心收治患者的精神科药物使用情况,并探究此类药物给药的相关性。

材料与方法

样本包括127名在两年期间入住康复中心且处于病情急性期后的患者。在患者病历中查找人口统计学和临床信息。

结果

对118名患者进行了分析,其中大多数为男性(62.7%),平均年龄57.5岁。约43.2%的患者(n = 51)被转介进行精神科会诊,39.8%(n = 47)的患者被开具了精神科药物。创伤性脑损伤是诊断结果,与转介呈正相关。67名未被转介的患者中有27名(40.3%)被医生开具了精神科治疗方案。会诊联络精神科服务诊断出近38.1%的患者患有精神障碍。

结论

在康复中心,精神科药物给药是常见做法,药物可能由中心医生和精神科医生开具。发现此类药物处方与转介至会诊联络精神科服务相关。

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