[How to optimise the use of psychotropic drugs in the elderly? Focus groups in a geriatric unit].

IF 0.4 4区医学 Q4 PSYCHIATRY

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2023-06-01 DOI:10.1684/pnv.2023.1097

Mathieu Corvaisier, Augustine Pierson, Anne-Solène Viollin, Marine Asfar, Guillaume Duval, Marie Otekpo, Cédric Annweiler, Laurence Spiesser-Robelet

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引用次数: 0

Abstract

The elderly person (EP) treated with psychotropics is at risk of iatropathology. The guidelines for the proper use of these treatments are difficult to apply and the difficulties met by hospital teams are little described in the literature. Our objective was to investigate the problem of psychotropic management in EP among the medical and care teams. Three focus groups were run consecutively in 2021 with the geriatric team at Angers Hospital, France, to highlight the difficulties met daily and to bring innovative solutions. Following a thematic analysis of the content, 10 themes were described, including 4 emerging. These 4 themes are a greater precision of the conditional prescriptions of psychotropics, the choice of the moment of administration, the route of administration in case of agitation, and the revaluation during and after hospitalization management. Among the solutions mentioned, some will be gradually implemented according to a prioritization matrix as an awareness of teams to behavioral disorders and their management, or the development of teleconsultation to check the re-evaluation of prescriptions.

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老年人如何优化精神药物的使用?[老年科的焦点小组]。

老年人(EP)治疗的精神药物是有风险的医疗病理学。正确使用这些治疗方法的指导方针很难适用，医院团队遇到的困难在文献中很少描述。我们的目的是调查医疗和护理团队在EP中精神药物管理的问题。2021年，与法国昂热医院的老年团队一起连续开展了三个焦点小组，以强调日常遇到的困难，并提出创新的解决方案。在对内容进行专题分析之后，描述了10个主题，其中包括4个新主题。这4个主题是精神药物有条件处方的准确性、给药时间的选择、躁动时给药途径的选择以及住院期间和住院后的重新评估。在上述解决方案中，一些将根据优先级矩阵逐步实施，作为团队对行为障碍及其管理的认识，或发展远程咨询以检查处方的重新评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement PSYCHIATRY-PSYCHOLOGY

CiteScore

0.70

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.