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临床表现 临床表现

Byron Creese1, Douglas Macfarlane1, Clive G Ballard2

  • 1Brunel University of London, London, United Kingdom.

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概括
此摘要是机器生成的。

异型抗精神病药物经常被处方为痴呆症的非标签,尽管有风险. 需要改善教育和共享决策,以确保更安全的使用,并尽量减少对患者及其家人的伤害.

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科学领域:

  • 老年医学 老年医学
  • 心理药理学 心理药理学
  • 定性研究是指质量研究.

背景情况:

  • 非典型抗精神病药物在全球面临处方限制,但仍在标签外使用.
  • 在痴呆症中非标签的非典型抗精神病药物使用的原因尚不清楚.
  • 更安全的处方需要检查启动和维护的背景.

研究的目的:

  • 探索患者,护理人员和临床医生对非典型抗精神病药物的风险和益处的看法.
  • 了解沟通副作用风险的偏好.
  • 确定影响非典型抗精神病药物处方在痴呆症护理中的因素.

主要方法:

  • 用半结构面试对养老院居民,亲属和工作人员进行定性研究.
  • 与外部医疗保健专业人员进行的焦点小组.
  • 框架分析以确定处方和决策中的关键主题.

主要成果:

  • 护理人员和亲属往往缺乏对抗精神病药物风险的了解,并缺乏对副作用的充分沟通.
  • 参与者更喜欢以人为中心的护理方法.
  • 出现了五个主要主题:人-症状相互作用,决策动态,处方前因素,信息合成和处方后监测.

结论:

  • 提高对痴呆症非典型抗精神病药物风险的教育至关重要.
  • 建议将亲属参与到共同的决策中,可能使用决策辅助工具.
  • 需要可访问的指南来监测抗精神病药物处方后,并将定性研究纳入药物治疗指南.