了解因痴呆症状而长期开具精神药物处方的流行性增长:养老院临床医生调查。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.1177/23337214241277052
John William Kerns, Jonathan D Winter, Katherine M Winter, Rebecca Etz, Sarah Reves, C J Christian Bergman
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引用次数: 0

摘要

目的探讨疗养院(NH)临床医生对 COVID-19 大流行期间已知精神药物处方增加因素的看法。调查方法对弗吉尼亚州疗养院开处方的临床医生进行了三次反复在线调查(2021 年 11 月至 2022 年 6 月),以评估他们对导致疗养院精神药物使用量在大流行期间增加的因素的看法。现有文献和新出现的调查数据为调查内容提供了依据。通过与弗吉尼亚州新罕布什尔州临床医生专业组织的合作,以众包的方式方便地抽取样本。结果:共收集到 89 份调查问卷。临床医生注意到,痴呆症状激增的同时,非药物治疗措施却越来越少,导致所有精神药物的处方量增加。人员短缺和流动、与家庭和社区的隔离以及个人防护设备协议被认为是造成这种不匹配的主要流行因素。结论:弗吉尼亚州新罕布什尔州的临床医生明确地将新罕布什尔州精神药物处方的增加与已知的大流行现象联系起来,这种联系是以前假设过的,但据我们所知还没有得到直接证实。
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Understanding Pandemic Increases in Long-Stay Psychotropic Prescribing for Dementia Symptoms: A Survey of Nursing Home Clinicians.

Objective: To explore the perceptions of nursing home (NH) clinicians regarding factors underpinning known increases in psychotropic prescribing over the COVID-19 pandemic. Methods: Three iterative online surveys were fielded to Virginia NH prescribing clinicians (11/2021-6/2022) to assess their perspectives regarding factors driving pandemic increases in NH psychotropic use. Existing literature and emerging survey data informed survey content. Sampling was for convenience and achieved through crowdsourcing, leveraging collaborations with Virginia NH clinician professional organizations. Results: A total of 89 surveys were collected. Clinicians noted simultaneous surging of dementia symptoms with decreased availability of non-pharmacologic measures to remedy them, leading to increased prescribing of all psychotropics. Staff shortages and turnover, isolation from family and community, and personal protective equipment protocols were identified as key pandemic factors contributing to this mismatch. Conclusions: Virginia NH clinicians explicitly linked increased NH psychotropic prescribing to known pandemic phenomena, associations previously hypothesized, but not, to our knowledge, directly confirmed.

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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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