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智障人士寄宿机构中护士特征与对精神药物认知之间的关系。

The relationship between nurse characteristics and perceptions of psychotropic medications in residential facilities for the retarded.

作者信息

Aman M G, Singh N N, Fitzpatrick J

机构信息

University of Auckland.

出版信息

J Autism Dev Disord. 1987 Dec;17(4):511-23. doi: 10.1007/BF01486967.

DOI:10.1007/BF01486967
PMID:3680153
Abstract

A total of 227 nurses were surveyed regarding their attitudes, perceptions, and knowledge about the use of psychotropic drugs. In general, greater age, male sex, status, and higher qualifications tended to covary and were associated with perception of greater involvement by senior nurses in drug-related decisions, more satisfaction with the level of in-service training, awareness of certain side effects, perception of interdisciplinary decision making as a clinical reality, and the view that psychologists were not influential in medication-related decisions. Those without these characteristics (e.g., females, younger nurses) more often advocated greater use of medical and laboratory tests, ongoing training, and alternatives to drugs. Nurses working in nonambulatory units more often saw senior nursing staff as influential in decisions to stop drug treatment and more often recommended that alternatives to pharmacology be employed. Some tentative conclusions about the dynamics surrounding medication use in these facilities were offered to account for these patterns.

摘要

共对227名护士进行了调查,了解她们对使用精神药物的态度、看法和知识。总体而言,年龄较大、男性、职位和学历较高往往相互关联,并且与以下方面相关:认为资深护士更多地参与药物相关决策、对在职培训水平更满意、知晓某些副作用、将跨学科决策视为临床现实,以及认为心理学家在药物相关决策中没有影响力。没有这些特征的人(例如女性、年轻护士)更常主张更多地使用医学和实验室检查、持续培训以及药物替代方法。在非门诊科室工作的护士更常认为资深护理人员在决定停止药物治疗方面具有影响力,并且更常建议采用药理学替代方法。针对这些机构中围绕药物使用的动态情况得出了一些初步结论,以解释这些模式。

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本文引用的文献

1
City-wide survey of drug patterns among non-institutionalized mentally retarded persons.
Appl Res Ment Retard. 1985;6(2):159-71. doi: 10.1016/s0270-3092(85)80068-0.
2
A national study of prescribed drugs in institutions and community residential facilities for mentally retarded people.一项针对智障人士机构和社区居住设施中处方药的全国性研究。
Psychopharmacol Bull. 1985;21(2):279-84.
3
Psychoactive drug use in public and community residential facilities for mentally retarded persons.在为智障人士提供的公共及社区居住设施中使用精神活性药物的情况。
Psychopharmacol Bull. 1985;21(2):268-78.
4
Participation of professionals, paraprofessionals, and direct-care staff members in the interdisciplinary team meeting.
Am J Ment Defic. 1985 Jan;89(4):437-40.
5
Caregiver perceptions of psychotropic medication in residential facilities.
Res Dev Disabil. 1987;8(3):449-65. doi: 10.1016/0891-4222(87)90025-4.