Department of Social Services and Health Care, City of Helsinki, Helsinki, Finland.
Department of General Practice, University of Helsinki, Helsinki, Finland.
Scand J Prim Health Care. 2022 Jun;40(2):246-252. doi: 10.1080/02813432.2022.2074055. Epub 2022 May 12.
To investigate the effect of an educational intervention of nursing staff on change in psychotropic use and related costs among older long-term care residents.
A secondary analysis of a randomized controlled intervention study with 12 months of follow-up.
Assisted living facilities in Helsinki, Finland.
Older (≥65 years) residents ( = 227) living in assisted living facility wards ( = 20) in Helsinki in 2011.
The wards were randomized into two groups. In one group, the nursing staff received training on appropriate medication therapy and guidance to recognize potentially harmful medications and adverse effects (intervention group); in the other group, the nursing staff did not receive any additional training (control group).
Change of psychotropic use counted as relative proportions of WHO ATC-defined daily doses (rDDDs) among older long-term care residents. In addition, the change in drug costs was considered. Comparable assessments were performed at 0, 6, and 12 months.
A significant decrease in both rDDDs and the cost of psychotropics was observed in the intervention group at 6 months follow-up. However, at 12 months, the difference between the intervention and control group had diminished.
Educational training can be effective in reducing the doses and costs of psychotropics. Further studies are warranted to investigate whether long-term effects can also be achieved by various educational interventions.
ACTRN 12611001078943 KEY POINTSWe explored the effect of staff training on psychotropic use and associated costs among older long-term care residents.Educational training of nursing staff was beneficial as regards the actual drug doses of psychotropics, and cost savings in psychotropic medication were achieved.Educational training was efficient in the short-term, but further research is warranted to achieve long-term effects.
调查护理人员教育干预对长期护理老年居民精神药物使用和相关费用变化的影响。
一项为期 12 个月随访的随机对照干预研究的二次分析。
芬兰赫尔辛基的辅助生活设施。
2011 年居住在赫尔辛基辅助生活设施病房（=20）的年龄≥65 岁的居民（=227）。
病房随机分为两组。一组护理人员接受了适当的药物治疗培训和识别潜在有害药物和不良反应的指导（干预组）；另一组护理人员未接受任何额外培训（对照组）。
精神药物使用的变化以世界卫生组织 ATC 定义的日剂量（rDDD）在老年长期护理居民中的相对比例计算。此外，还考虑了药物费用的变化。在 0、6 和 12 个月时进行了可比评估。
干预组在 6 个月随访时，rDDD 和精神药物费用均显著下降。然而，在 12 个月时，干预组和对照组之间的差异已经缩小。
教育培训可有效降低精神药物的剂量和费用。需要进一步研究，以探讨各种教育干预措施是否也能产生长期效果。
ACTRN 12611001078943
我们探讨了工作人员培训对长期护理老年居民精神药物使用和相关费用的影响。
护理人员的教育培训有利于精神药物的实际药物剂量，并且在精神药物治疗方面实现了成本节约。
教育培训在短期内是有效的，但需要进一步研究以实现长期效果。
