一家三级护理医院精神科室外病人精神药物使用情况研究

PRANAB DAS, Nivedita Saha, Dolly Roy
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摘要

研究目的本研究的目的是根据世界卫生组织的核心处方指标,评估为患者开具的精神药物的用药模式:调查审查了 2023 年 9 月至 2024 年 3 月期间到锡尔查医学院和医院精神病学系门诊部就诊的所有患者病历。对处方中的药物使用指标进行了分析,如处方中的药物数量、通用名处方、基本药物目录处方、抗生素处方、注射剂处方以及多种药物的比例:共检查了 600 份处方。最常见的精神药物是抗抑郁药。每张处方平均使用精神药物 1.64 次。使用通用名的比例为 98.88%;涉及注射的处方比例为 3.33%;从《国家基本药物目录》(NLEM)中处方精神药物的比例为 62.53%;使用多种药物的比例为 5.5%:该研究机构在包括注射和抗生素在内的处方比例方面表现良好,但在国家基本药物清单药物、非专利药物和尽量减少多重用药方面未达到建议水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DRUG UTILIZATION STUDY OF PSYCHOTROPIC DRUGS IN PSYCHIATRY OUTDOOR PATIENTS AT A TERTIARY CARE HOSPITAL
Objective: The objective of this study was to evaluate the drug utilization pattern of psychotropic drugs prescribed in patients as per the World Health Organization core prescribing indicators. Methods: The investigation examined all patient medical records who visited the outpatient department of the Department of Psychiatry, Silchar Medical College and Hospital between September 2023 and March 2024. The prescriptions were analyzed for indicators of drug use such as the quantity of drugs prescribed, generic name prescriptions, essential drug list prescriptions, antibiotics prescribed, injection prescribed, and the percentage of polypharmacy. Results: A total of 600 prescriptions were examined. The most common type of psychotropic drug administered was antidepressants. Psychotropic drugs were administered on an average of 1.64 times per prescription. The proportion of generic names was 98.88%; the proportion of prescription encounters involving an injection was 3.33%; the proportion of psychiatric medications prescribed from the National List of Essential Medicines (NLEM) was 62.53%; and the proportion of polypharmacy was 5.5%. Conclusion: This study setting performed well in terms of the proportion of prescriptions that included injections and antibiotics; nevertheless, it fell short of recommendations in terms of NLEM drugs, generic drugs, and minimizing polypharmacy.
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