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医生对减少药物使用和停止药物的自我报告态度和策略
Thomas Koch1, Sebastian von Peter2, Stefan Weinmann3
1Medizinische Hochschule Brandenburg Theodor Fontane, Campus Neuruppin, Fehrbelliner Straße 38, 16816 Neuruppin, Germany; Habersaathstr.36E, 10115 Berlin, Germany.
Psychiatry research
|August 17, 2025
概括
医生认为自己有能力减少抗抑郁药 (AD) 和抗精神病药 (AP),但担心临床恶化,特别是AP. 系统性抑郁症尚未成为标准实践,尽管患者已经做好了准备.
科学领域:
- 精神病学是一个精神病学.
- 临床药房 临床药房
- 基于证据的医学基于证据的医学.
背景情况:
- 越来越多的抗抑郁药 (AD) 和抗精神病药 (AP) 的处方引起了人们对副作用和有效性的担忧.
- 医生在管理AD和AP减少和停止治疗方面发挥着至关重要的作用.
- 以患者为中心的护理需要探索安全戒药策略.
研究的目的:
- 调查门诊医生的态度,期望,专业知识和关于AD和AP减少和停止治疗的挑战.
- 了解目前的做法和对这些药物的处方障碍的看法.
- 为了确定医生信心水平和与逐渐缩小的AD与AP相关的担忧.
主要方法:
- 在柏林和勃兰登堡,对607名心理健康专业人员进行了调查.
- 通过描述性统计和比较方法分析了41个问题的数据.
- 103名医生参与了调查,提供了他们自我报告的做法和信仰的见解.
主要成果:
- 大多数医生的目标是尽量减少AD和AP剂量,并支持降低剂量.
- 医生表示更多的支持停用AD,而不是停用AP.
- 关心和感知到的风险是更高的AP停止与AD停止相比.
结论:
- 尽管人们认为有能力,但对AD/AP的系统性抑郁并不是标准实践.
- 医生对临床恶化的恐惧和角色责任往往阻碍了停止治疗,特别是在APs.
- 解决医生的担忧至关重要,以促进精神病药物的安全和有效的减缓处方.
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