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具有挑战性的行为,限制措施的应用和精神药物处方在智力障碍者中
Josien Jonker1, Sytse Ulbe Zuidema2, Gerda Margaretha de Kuijper3
1GGZ Drenthe, Department of Centre for Intellectual Disability and Mental Health, P.O. Box 30007, Assen 9400 RA, the Netherlands.
Research in developmental disabilities
|August 23, 2024
概括
这项研究没有发现证据表明,精神药物 (PD) 处方可以替代智力障碍 (ID) 患者的限制措施. 然而,在接受PD以及其他限制措施的个人中观察到最严重的挑战性行为.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 智力障碍研究 智力障碍研究
背景情况:
- 精神药物 (PD) 和限制措施是挑战智力障碍 (ID) 个体行为的常见干预措施.
- 当前的做法可能并不总是与临床指南或最佳实践保持一致.
- 需要进一步调查PD处方和限制措施之间的潜在相互作用.
研究的目的:
- 探索挑战性行为,限制性措施和ID患者的PD处方之间的三角关系.
- 确定是否使用PD作为其他形式限制措施的替代品.
主要方法:
- 采用了横截面研究设计.
- 收集了关于挑战性行为,PD处方和限制措施的数据.
- 为了进行比较,参与者被分为四个相互排斥的组.
主要成果:
- 没有发现挑战性行为,限制性措施和PD处方之间的三角关系的证据.
- 与其他组相比,作为限制措施 (PDRM) 处方PD的个人表现出更严重的挑战性行为.
- 与那些按照指南 (PDNRM) 处方的PD相比,PDRM组显示出更高的抗精神病药物,抗抑郁药物和焦虑剂/催眠剂的使用率,以及更多的家庭药物.
结论:
- 该研究没有发现,PD处方可以代替限制措施.
- 在使用PDs作为与其他干预措施一起的限制措施的个体中,挑战性行为的严重程度最高.
- 结果表明,同时使用PD和非药物限制措施可能表明在ID中管理具有挑战性的行为方面实施或有效性不足.
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