,Survey of antipsychotic drug use in psychiatric hosting service center[J].SICHUAN MENTAL HEALTH,2019,32(4):333-336
Survey of antipsychotic drug use in psychiatric hosting service center
DOI:10.11886/j.issn.1007-3256.2019.04.009
English keywords:Nursing home for mental illness  Non-medical functional institution  Antipsychotics  Cross-sectional survey
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Author NameAffiliation
谢侃侃 北京市朝阳区第三医院 
张景春 北京市朝阳区第三医院 
赵灿 北京市朝阳区第三医院 
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English abstract:
      Objective To explore the antipsychotic drug use of patients in Psychiatric Hosting Service Center of Chaoyang District in Beijing, and to provide references for drug management of patients in the care center.Methods Patients who were hospitalized in Psychiatric Hosting Service Center of Chaoyang District in Beijing in June 2017 and were in accordance with International Classification of Diseases, tenth edition (ICD-10) psychiatric diagnosis were selected as the subjects of this study. All the enrolled patients received antipsychotic drugs while in hospital. Data including social demographic data, diagnosis and drug use of patients were collected by self-made questionnaires.Results A total of 197 patients were enrolled in the study, including 180 (90.5%) patients used single antipsychotic medication and 17 (8.5%) cases used drug combination. And the most frequently used antipsychotics were chlorpromazine (n=54), clozapine (n=37), haloperidol (n=26), risperidone (n=23) and sulpiride (n=22), accounting for 25.0%, 17.1%, 12.0%, 10.6% and 10.2% respectively. Patients receiving the first-generation antipsychotics had a significantly longer course of disease (Z=-3.260, P<0.05) and hospital stay (Z=-3.531, P<0.01). Logistic regression analysis showed that hospital stay was a related factor of using the first-generation antipsychotics (β=0.099, OR=1.104, 95% CI=1.033~1.179, P<0.05).Conclusion In Psychiatric Hosting Service Center of Chaoyang District in Beijing, patients are mainly treated with single antipsychotic medication, and mostly first-generation antipsychotics. For patients with long hospitalization length, the first-generation antipsychotics are the most frequently used.
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