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通过使用药理相互作用数据库提高精神病学药物治疗的有效性

Increasing the Effectiveness of Pharmacotherapy in Psychiatry by Using a Pharmacological Interaction Database.

作者信息

Ordak Michal, Nasierowski Tadeusz, Muszynska Elzbieta, Bujalska-Zadrozny Magdalena

机构信息

Department of Pharmacodynamics, Centre for Preclinical Research and Technology (CePT), Medical University of Warsaw, 02-091 Warsaw, Poland.

Department of Psychiatry, Medical University of Warsaw, 02-091 Warsaw, Poland.

出版信息

J Clin Med. 2021 May 18;10(10):2185. doi: 10.3390/jcm10102185.

Abstract

Recent studies have shown that the knowledge of pharmacological interaction databases in global psychiatry is negligible. The frequency of hospitalizations in the case of patients taking new psychoactive substances along with other drugs continues to increase, very often resulting in the need for polypharmacotherapy. The aim of our research was to make members of the worldwide psychiatric community aware of the need to use a pharmacological interaction database in their daily work. The study involved 2146 psychiatrists from around the world. Participants were primarily contacted through the LinkedIn Recruiter website. The surveyed psychiatrists answered 5 questions concerning case reports of patients taking new psychoactive substances along with other drugs. The questions were answered twice, i.e., before and after using the Medscape drug interaction database. The mean percentage of correct answers given by the group of psychiatrists who were studied separately in six individual continents turned out to be statistically significantly higher after using the pharmacological interaction database ( < 0.001). This also applies to providing correct answers separately, i.e., to each of the five questions asked concerning individual case reports ( < 0.001). Before using the drug interaction database, only 14.1% of psychiatrists stated that they knew and used this type of database ( < 0.001). In the second stage of the study, a statistically significant majority of subjects stated that they were interested in using the pharmacological interaction database from that moment on ( < 0.001) and expressed the opinion that it could be effective in everyday work ( < 0.001). Using a pharmacological interaction database in psychiatry can contribute to the effectiveness of pharmacotherapy.

摘要

最近的研究表明,全球精神病学领域中药理学相互作用数据库的应用情况微不足道。服用新型精神活性物质的患者与其他药物同时使用时,住院频率持续上升,这常常导致需要进行多药联合治疗。我们研究的目的是让全球精神病学界的成员意识到在日常工作中使用药理学相互作用数据库的必要性。该研究涉及来自世界各地的2146名精神科医生。主要通过领英招聘网站联系参与者。接受调查的精神科医生回答了5个关于服用新型精神活性物质的患者与其他药物同时使用的病例报告问题。这些问题在使用Medscape药物相互作用数据库之前和之后各回答一次。在六大洲分别进行研究的精神科医生群体,在使用药理学相互作用数据库后,给出正确答案的平均百分比在统计学上显著更高(<0.001)。这也适用于分别针对关于各个病例报告提出的五个问题中的每一个给出正确答案(<0.001)。在使用药物相互作用数据库之前,只有14.1%的精神科医生表示他们知道并使用这种类型的数据库(<0.001)。在研究的第二阶段,绝大多数受试者在统计学上有显著差异,他们表示从那时起有兴趣使用药理学相互作用数据库(<0.001),并认为它在日常工作中可能有效(<0.001)。在精神病学中使用药理学相互作用数据库有助于提高药物治疗的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3b/8158110/49fe7338c04e/jcm-10-02185-g001.jpg

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