Corvaisier Mathieu, Pierson Augustine, Viollin Anne-Solène, Asfar Marine, Duval Guillaume, Otekpo Marie, Annweiler Cédric, Spiesser-Robelet Laurence
Département de pharmacie, faculté de santé, université d'Angers, Angers, France, EA4638, université d'Angers, Angers, France, Département de médecine gériatrie, centre de recherche sur l'autonomie et la longévité, centre hospitalier universitaire, Angers, France, Pharmacie à usage intérieur, centre hospitalier universitaire, Angers, France.
Département de médecine, faculté de santé, université d'Angers, Angers, France.
Geriatr Psychol Neuropsychiatr Vieil. 2023 Jun 1;21(2):192-202. doi: 10.1684/pnv.2023.1097.
The elderly person (EP) treated with psychotropics is at risk of iatropathology. The guidelines for the proper use of these treatments are difficult to apply and the difficulties met by hospital teams are little described in the literature. Our objective was to investigate the problem of psychotropic management in EP among the medical and care teams. Three focus groups were run consecutively in 2021 with the geriatric team at Angers Hospital, France, to highlight the difficulties met daily and to bring innovative solutions. Following a thematic analysis of the content, 10 themes were described, including 4 emerging. These 4 themes are a greater precision of the conditional prescriptions of psychotropics, the choice of the moment of administration, the route of administration in case of agitation, and the revaluation during and after hospitalization management. Among the solutions mentioned, some will be gradually implemented according to a prioritization matrix as an awareness of teams to behavioral disorders and their management, or the development of teleconsultation to check the re-evaluation of prescriptions.
接受精神药物治疗的老年人存在医源性疾病风险。这些治疗方法的正确使用指南难以应用，而医院团队遇到的困难在文献中鲜有描述。我们的目标是调查医疗和护理团队中老年人精神药物管理问题。2021年，我们连续与法国昂热医院的老年病团队开展了三个焦点小组讨论，以突出日常遇到的困难并提出创新解决方案。在对内容进行主题分析后，描述了10个主题，其中包括4个新出现的主题。这4个主题分别是精神药物有条件处方的更高精准度、给药时机的选择、躁动时的给药途径以及住院管理期间和之后的重新评估。在提到的解决方案中，一些将根据优先级矩阵逐步实施，作为团队对行为障碍及其管理的认识，或者开展远程会诊以检查处方的重新评估。
