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尼日利亚一家精神病医院的精神药物处方情况。

Psychotropic drug prescribing in a Nigerian psychiatric hospital.

作者信息

Agbonile Imafidon O, Famuyiwa Oluwole

机构信息

Consultant Psychiatrist, Psychiatric Hospital, Uselu, PMB 1102, Benin City, Edo State, Nigeria.

Professor of Psychiatry, Lagos University Teaching Hospital, Nigeria, email

出版信息

Int Psychiatry. 2009 Oct 1;6(4):96-98. eCollection 2009 Oct.

PMID:31508010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6734891/
Abstract

Psychopharmacotherapy dominates the therapeutic arsenal of psychiatrists and, not surprisingly, psychotropic drugs are widely consumed in psychiatric practice. The pattern of prescribing of these drugs needs to be appraised in terms of 'rational drug use', which may be defined as 'the use of the least number of drugs to obtain the best possible effects in the shortest possible time and at a reasonable cost' (Gross, 1981).

摘要

心理药物治疗在精神科医生的治疗手段中占据主导地位,不出所料,精神药物在精神科实践中被广泛使用。这些药物的处方模式需要从“合理用药”的角度进行评估,合理用药可定义为“使用最少数量的药物,在尽可能短的时间内以合理的成本获得最佳效果”(格罗斯,1981年)。

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本文引用的文献

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The impact of a good practice manual on professional practice associated with psychotropic PRN in acute mental health wards: an exploratory study.一本良好实践手册对急性精神科病房中与精神药物按需使用相关的专业实践的影响:一项探索性研究。
Int J Nurs Stud. 2008 Oct;45(10):1403-10. doi: 10.1016/j.ijnurstu.2008.01.004. Epub 2008 Mar 4.
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The DEBIT trial: an intervention to reduce antipsychotic polypharmacy prescribing in adult psychiatry wards - a cluster randomized controlled trial.DEBIT试验:一项减少成人精神科病房抗精神病药物联合处方的干预措施——一项整群随机对照试验。
Psychol Med. 2008 May;38(5):705-15. doi: 10.1017/S003329170700147X. Epub 2007 Sep 10.
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'As required' medication regimens for seriously mentally ill people in hospital.住院重症精神病患者的“按需”用药方案。
Cochrane Database Syst Rev. 2007 Jul 18(3):CD003441. doi: 10.1002/14651858.CD003441.pub2.
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Exploring the clinical and social determinants of prescribing anticholinergic medication for Chinese patients with schizophrenia.探索中国精神分裂症患者抗胆碱能药物处方的临床和社会决定因素。
Hum Psychopharmacol. 2007 Apr;22(3):173-80. doi: 10.1002/hup.830.
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Cost-effectiveness of an essential mental health intervention package in Nigeria.在尼日利亚实施基本精神卫生干预一揽子计划的成本效益。
World Psychiatry. 2007 Feb;6(1):42-8.
6
Simultaneous prescribing of atypical antipsychotics, conventional antipsychotics and anticholinergics-a European study.非典型抗精神病药物、传统抗精神病药物和抗胆碱能药物的联合处方——一项欧洲研究。
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Psychotropic drug epidemiology: the road travelled, the road ahead.精神药物流行病学:走过的路,前行的路。
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Drug utilization - theory and practice. The present situation in the Federal Republic of Germany.
Eur J Clin Pharmacol. 1981;19(6):387-94. doi: 10.1007/BF00548580.
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Br J Psychiatry. 1984 Nov;145:502-7. doi: 10.1192/bjp.145.5.502.
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Psychotropic polypharmacy in Nigeria. The danger can be avoided and cost reduced.
Trop Doct. 1988 Jan;18(1):7-11. doi: 10.1177/004947558801800103.