Furniss L, Craig S K, Burns A
Department of Old Age Psychiatry, University of Manchester, UK.
Int J Geriatr Psychiatry. 1998 Jul;13(7):433-9. doi: 10.1002/(sici)1099-1166(199807)13:7<433::aid-gps798>3.0.co;2-9.
Residents of nursing and residential homes are often prescribed medication for physical and mental ill-health with resultant polypharmacy and the possibility of iatrogenic disorders. Sometimes drugs are prescribed inappropriately and a number of studies have highlighted the overuse of psychotropic drugs. Legislation in the USA has been effective in controlling their use in that neuroleptic prescriptions for the treatment of behavioural disturbances have been significantly reduced and non-pharmacists have a role to play in the appropriate management of medicines in elderly residents; they can improve patient care and be cost-effective. Identification of methods by which to improve awareness of inappropriate medication prescription and to avoid certain types of drugs is required. This review critically evaluates medication use in this population with specific reference to psychotropics and aims to raise awareness of the issue.
疗养院和养老院的居民经常因身心健康问题而被开多种药物，由此导致了多药并用以及医源性疾病的可能性。有时药物的处方并不恰当，一些研究强调了精神药物的过度使用。美国的立法在控制其使用方面很有效，因为用于治疗行为障碍的抗精神病药物处方已大幅减少，并且非药剂师在老年居民的药物合理管理中可以发挥作用；他们可以改善患者护理并具有成本效益。需要确定提高对不当药物处方的认识并避免某些类型药物的方法。本综述批判性地评估了该人群的药物使用情况，特别提及精神药物，旨在提高对该问题的认识。
