Wancata J, Benda N, Lesch O, Müller C
Department of Psychiatry, University of Vienna, Austria.
Pharmacopsychiatry. 1998 Sep;31(5):178-86. doi: 10.1055/s-2007-979324.
While several surveys have shown that patients in nonpsychiatric hospital departments frequently receive anxiolytics or hypnotics during hospitalization, and also receive discharge prescriptions for these drugs, as yet none has investigated the start of intake of these drugs during hospitalization in conjunction with an assessment of all types of psychiatric disorders. Therefore, we studied 728 patients in medical, gynecological, and surgical departments of two non-university general hospitals in Austria for the prevalence of anxiolytic and hypnotic drug use during hospitalization as compared to discharge prescriptions for such drugs. Altogether, 50.4% of all admitted patients were treated with anxiolytics or hypnotics during their stay in hospital, and 42.8% of those who had not taken such drugs before admission. Of the patients using these medications during hospitalization, 26.1% also received discharge prescriptions. The significant associations between psychiatric variables and both drug use during hospitalization and prescriptions at discharge, suggest that anxiolytic and hypnotic drugs are used aptly. However, considering that about half of the patients suffering from substance abuse disorders received discharge prescriptions, the risk of continued substance abuse must not be neglected. Overall, fewer patients received anxiolytics or hypnotics at discharge than had used them before admission.
虽然多项调查显示，非精神科医院科室的患者在住院期间经常接受抗焦虑药或催眠药治疗，并且出院时还会收到这些药物的处方，但尚未有研究调查住院期间开始服用这些药物的情况以及对所有类型精神障碍的评估。因此，我们对奥地利两家非大学附属医院的内科、妇科和外科的728名患者进行了研究，以比较住院期间使用抗焦虑药和催眠药的患病率与此类药物的出院处方情况。总共有50.4%的入院患者在住院期间接受了抗焦虑药或催眠药治疗，其中42.8%是入院前未服用过此类药物的患者。在住院期间使用这些药物的患者中，26.1%的人出院时也收到了处方。精神科变量与住院期间药物使用和出院处方之间的显著关联表明，抗焦虑药和催眠药的使用是恰当的。然而，考虑到约一半患有物质滥用障碍的患者出院时收到了处方，持续物质滥用的风险不容忽视。总体而言，出院时接受抗焦虑药或催眠药治疗的患者比入院前使用过这些药物的患者要少。
