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制定实践指导措施以提高智障成年人精神药物治疗指南的依从性。

Development of practice-guided measures to improve guideline adherence in psychotropic medication for adults with intellectual disabilities.

作者信息

Schützwohl Matthias, Krönke Indra, Reupert Annegret, Stasch Nicole, Mayer Lea, Krumm Silvia

机构信息

Department of Psychiatry and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.

Department of Psychiatry II, Ulm University, Ulm, Germany.

出版信息

Int J Dev Disabil. 2023 Dec 4;71(4):638-642. doi: 10.1080/20473869.2023.2272091. eCollection 2025.

DOI:10.1080/20473869.2023.2272091
PMID:40529197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12168383/
Abstract

Guidelines aim to improve the quality of medical care through knowledge transfer. The effectiveness and benefit of guidelines depend on their quality and on the extent to which they are implemented in clinical practice. The persons responsible in clinical practice should therefore not only have knowledge of guidelines, but also know how to implement them as comprehensively as possible against the background of the existing structural and personnel conditions in everyday work. Against this background, the object of a small study was to use qualitative methods to develop measures that could contribute to better guideline adherence in the prescription of psychotropic drugs for people with intellectual disabilities living in residential accommodations. The study was conducted in Germany in 2022. Twenty-two workshops with focus group discussions were held. The result is a catalogue with a total of 67 potentially helpful measures.

摘要

指南旨在通过知识传授提高医疗质量。指南的有效性和益处取决于其质量以及在临床实践中的实施程度。因此,临床实践中的负责人不仅应了解指南,还应知道如何在日常工作中现有结构和人员条件的背景下尽可能全面地实施这些指南。在此背景下,一项小型研究的目的是运用定性方法制定措施,以有助于在为居住在住宿机构中的智障人士开具精神药物处方时更好地遵循指南。该研究于2022年在德国进行。举办了22次焦点小组讨论工作坊。结果是形成了一个包含总共67项潜在有用措施的目录。

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本文引用的文献

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Antipsychotic initiation among adults with intellectual and developmental disabilities in Ontario: a population-based cohort study.安非他命在安大略省有智力和发育障碍的成年人中的起始使用:一项基于人群的队列研究。
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World Psychiatry. 2009 Oct;8(3):181-6. doi: 10.1002/j.2051-5545.2009.tb00248.x.
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