Wancata J, Benda N, Meise U, Müller C
Department of Psychiatry, University of Vienna, Austria.
Int J Psychiatry Med. 1998;28(3):303-14. doi: 10.2190/8XTV-38N6-EWBJ-08F1.
The purpose of the present study was to investigate the prevalence of psychotropic drug use and the predictors of use during hospitalization.
We investigated 728 patients admitted to medical, gynecological, and surgical wards of two non-university general hospitals in Austria for psychotropic drug use, psychiatric morbidity, and sociodemographic characteristics.
The use of psychotropics was highest in medical wards (67.6%), followed by surgical (59.3%), and gynecological wards (37.8%). Older age, psychiatric caseness, consultation by psychiatrists and use of psychotropics before admission were predictors for psychotropic drug use. Psychotropics were given for a longer duration to psychiatric cases than to non-cases. Anxiolytics were prescribed most often (39.6%), followed by hypnotics (16.9%), neuroleptics (10.7%), and antidepressants (7.0%).
The fact that psychiatric illness is a significant predictor of psychotropic drug use suggests that these drugs were prescribed aptly. The longer duration of use among psychiatric cases supports the idea of appropriate prescriptions.
本研究旨在调查精神药物的使用 prevalence 以及住院期间使用精神药物的预测因素。
我们调查了奥地利两家非大学附属医院内科、妇科和外科病房收治的728例患者的精神药物使用情况、精神疾病发病率和社会人口学特征。
精神药物的使用在内科病房最高（67.6%），其次是外科病房（59.3%）和妇科病房（37.8%）。年龄较大、患有精神疾病、精神科医生会诊以及入院前使用精神药物是精神药物使用的预测因素。精神疾病患者使用精神药物的时间比非精神疾病患者更长。最常开具的精神药物是抗焦虑药（39.6%），其次是催眠药（16.9%）、抗精神病药（10.7%）和抗抑郁药（7.0%）。
精神疾病是精神药物使用的重要预测因素这一事实表明这些药物的开具是恰当的。精神疾病患者使用精神药物的时间更长支持了恰当处方的观点。
