一般实践中的抗精神病药物管理:连续横截面研究 (2011-2020年)
Alan Woodall1, Alex Gampel2, Lauren E Walker3
1Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool; clinical lead for integrated care, Powys Teaching Health Board, Bronllys, Powys.
概括
长期使用抗精神病药物正在上升,越来越少的患者接受必要的精神病医师审查. 这种趋势增加了心脏代谢风险,需要紧急干预,以确保患者的安全.
科学领域:
- 精神病学和一般医疗
- 公共卫生 公共卫生
- 药物监督 药物监督 药物监督
背景情况:
- 长期使用抗精神病药物与显著的心脏代谢疾病风险有关.
- 精神病医生的定期审查对于管理持续的抗精神病药物需求和减轻风险至关重要.
研究的目的:
- 分析在一般诊所中抗精神病药物处方的趋势.
- 确定长期服用抗精神病药物的患者中每年接受精神病学家审查的比例.
主要方法:
- 一项连续的横截面研究利用了2011年至2020年间威尔士的相关的全科医院和医院数据.
- 在威尔士通用诊所注册的成人患者 (≥18岁) 分析了抗精神病药物处方频率,精神病医师审查率和疾病登记册状态.
主要成果:
- 长期服用抗精神病药物的成年人患病率从2011年的1.055%增加到2020年的1.448%.
- 在研究期间,接受每年精神病医师审查的患者比例从59.6%降至52.0%.
- 对严重精神疾病登记的患者的处方减少了,更多的患者由全科医生在没有专家监督的情况下管理.
结论:
- 长期使用抗精神病药物的增加,加上精神病学家参与和监测的减少,给患者带来了重大风险.
- 在没有定期专家检查或在未经监测的登记册上由全科医生管理的患者可能会错过关键的心脏代谢监测和抑郁的机会.
- 迫切需要注意解决这些关于抗精神病药物管理的趋势,以确保患者安全和优化护理.
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