咨询联络服务对术后精神药物使用的影响
Riki Kitaoka1, Nobutaka Ayani2, Takahiro Uramatsu3
1Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.
Journal of psychosomatic research
|April 16, 2025
概括
精神病咨询联络服务 (CLS) 可能会减少术后患者不必要使用抗精神病药物. 这种干预有助于优化药物选择和剂量,改善患者护理和结果.
科学领域:
- 精神病学是一个精神病学.
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 手术后妄想症的管理往往落在非专家的手中.
- 手术后使用心理药物需要仔细考虑.
研究的目的:
- 调查精神病咨询联络服务 (CLS) 对术后精神药物使用的影响.
- 为了比较心理药物模式和结果,有和没有CLS.
主要方法:
- 对接受术后精神药物治疗的509名患者的回顾性分析.
- 在CLS和非CLS组之间比较药物类型,剂量,妄想发病率和不良药物事件.
主要成果:
- 没有CLS干预的患者接受不必要的抗精神病药物的可能性显著增加 (65%对22%).
- 在非CLS组中观察到较高的中位数每日利剂量.
- 干预CLS与降低抗精神病药物处方和剂量有关.
结论:
- 咨询联络服务可能会减少不适当的抗精神病药物在术后处方.
- 在手术患者中,CLS可以帮助优化心理药物管理.
- 这项服务可能会导致更安全,更有效的术后护理.
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