支持优化英国智力障碍者精神药物处方的因素:修改后的Delphi研究
Danielle Adams1,2, Richard P Hastings3, Ian Maidment4
1Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, United Kingdom.
Frontiers in psychiatry
|September 4, 2025
概括
这项研究确定了33个关键因素,支持对智力障碍患者安全的精神药物处方. 英国医疗专业人士一致认为,以人为本的护理和共同决策对于最佳结果的重要性.
科学领域:
- 精神病学和智力障碍研究
- 药物管理和降低处方策略
- 建立医疗专业的共识
背景情况:
- 在智力障碍患者处方过多的精神药物会产生不良影响.
- 国际的减肥计划旨在减轻风险, 但支持因素尚不清楚.
- 需要基于证据的指导来为这一群体提供最佳的精神药物.
研究的目的:
- 建立英国关于支持智力障碍患者最佳心理治疗的因素的共识.
- 为未来的安全和有效的药物减少提供实践建议.
主要方法:
- 与英国医疗保健专业人员进行的修改后的两轮Delphi在线研究.
- 使用5点的利克尔特等级来评价34个来自研究的因素.
- 包括参与者提出额外因素并达成≥85%的共识的机会.
主要成果:
- 在33个关键因素上达成共识,这些因素对最佳的精神抑制药物处方至关重要.
- 关键因素包括专业态度,信心,冲突解决,以人为本的照顾,共同决策,遵守指导方针和相互支持.
- 在第二轮中确定了五个额外的因素,其中包括两个来自自由文本的答案.
结论:
- 在英国的智力障碍服务中,有33个综合因素支持安全有效的精神药物处方.
- 未来的实践应该整合照顾者和智力残疾人的经验.
- 促进公平和可持续的减产需要明智的协作方法.
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