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[重度智力迟钝患者的非机构化:对抗精神病药物处方的影响]

[Deinstitutionalization of severely mentally retarded patients: impact on prescription of neuroleptics].

作者信息

Boucher C, Morin L, Dubois A

机构信息

Services des enfants et des adolescents, Centre hospitalier Douglas, Verdun, Québec.

出版信息

Can J Psychiatry. 1994 Mar;39(2):108-12. doi: 10.1177/070674379403900208.

Abstract

The neuroleptic medication prescribed over a period of 12 years for three groups of severely developmentally handicapped patients is analyzed retrospectively. The average daily doses prescribed for two groups of patients, deinstitutionalized either to foster homes or group homes, are compared to those prescribed for a third group of patients who were not deinstitutionalized. The results show that deinstitutionalization had no impact on the prescribing of neuroleptics, regardless of the type of residence: group home or foster home. The results show, moreover, that for the three groups of patients, time spent without medication decreased significantly over the 12 years of this study. These results are discussed in relation to the problem of the patients' social reintegration into the community.

摘要

回顾性分析了12年来为三组严重发育障碍患者开具的抗精神病药物。将两组分别安置到寄养家庭或集体之家的非机构化患者的平均日剂量,与第三组未进行非机构化的患者的平均日剂量进行了比较。结果表明,无论居住类型是集体之家还是寄养家庭,非机构化对抗精神病药物的处方没有影响。此外,结果显示,在本研究的12年中,三组患者未用药的时间显著减少。结合患者重新融入社区的问题对这些结果进行了讨论。

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