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精神科长期处方药品综合管理实践路径的探索
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| 篇名： | 精神科长期处方药品综合管理实践路径的探索 |
| TITLE： | Exploration of the comprehensive management practice pathway for long-term prescription medications in psychiatry |
| 摘要： | 目的 探讨精神科长期处方药品综合管理模式与潜在问题，为精神专科医院和其他医疗机构药房全面管理精神科长期处方提供参考。方法从精神科长期处方的适用原则出发，介绍长期处方开具前的规范化评估与注意事项、药品目录的制定与调整、长期处方的合理化管理；对长期处方药品综合管理中可能存在的问题进行分析并提出应对措施建议。结果与结论长期处方应在实施前从精神疾病状态和远期潜在危险因素、药物治疗方案及其他非药物疗法、躯体疾病方面对患者进行标准化评估，并对患者或其家属履行告知义务。长期处方药品的综合管理应联合多部门进行制度的建立与完善，药品目录的制定应在符合政策要求的前提下避免纳入有潜在社会危害性或用药风险的药品。此外，增加长期处方特殊标识、向患者提供长期处方到期提醒或开设线上咨询等措施也能有效提高长期处方的用药合理性。目前精神科长期处方的落实存在药品使用天数不一致、病种覆盖不全、患者依从性差及评估偏差风险的问题。对此，可通过协同多部门加强长期处方信息化管理，提供相匹配的药学服务，保障长期处方实施过程中的质量和合理性，以及使用现代化手段筛查风险患者等措施来提升患者用药依从性与安全性。 |
| ABSTRACT： | OBJECTIVE To explore comprehensive management and potential issues associated with long-term prescriptions medications of psychiatry， in order to provide a reference for the comprehensive management of long-term prescriptions of psychiatry in psychiatric hospitals and other medical institutions’ pharmacies. METHODS Starting from the applicable principles for long-term prescriptions of psychiatry， this study introduced the standardized assessment and precautions before issuing long-term prescriptions， the formulation and adjustment of the drug list， as well as the rational management of the long-term prescriptions. It also analyzed potential issues that may arise in the comprehensive management of long-term prescription medications and proposed corresponding countermeasures and suggestions. RESULTS & CONCLUSIONS Prior to initiating long-term prescriptions， a standardized assessment should be conducted on patients from the aspects of their psychiatric condition and long-term potential risk factors， pharmacological treatment plans and other non-pharmacological therapies， physical illnesses. Additionally， healthcare providers should fulfill their obligation to inform patients or their family members. The comprehensive management of long-term prescription medications should be jointly established and improved by multiple departments， and the formulation of drug catalogs should avoid including drugs with potential social harm or medication risks while complying with policy requirements. Furthermore， measures such as adding special identifiers to long-term prescriptions， providing patients with reminders about （No.YGLX202537） prescription expiration， or offering online consultations can also effectively enhance the rationality of medication use under long-term prescriptions. Currently， the implementation of long-term prescriptions in psychiatry remains challenged by inconsistencies in prescription duration， incomplete coverage of diagnostic categories， poor patient adherence， and the risk of deviation in clinical assessments. In this regard， measures such as collaborating with multiple departments to strengthen long-term prescription information management， providing matching pharmaceutical services， ensuring the quality and rationality of long-term prescription implementation， and using modern methods to screen high-risk patients can be taken to improve patient medication compliance and safety. |
| 期刊： | 2025年第36卷第19期 |
| 作者： | 牛梦溪；李鹏飞；王雪；刘珊珊；曹燕翔；庄红艳；王虎；白丽；李华维；潘飞；沙莎；张庆娥 |
| AUTHORS： | NIU Mengxi，LI Pengfei，WANG Xue，LIU Shanshan， CAO Yanxiang，ZHUANG Hongyan，WANG Hu，BAI Li，LI Huawei，PAN Fei，SHA Sha，ZHANG Qing’e |
| 关键字： | 长期处方；精神障碍；慢性病；精神治疗药物；依从性；药学服务 |
| KEYWORDS： | long-term prescriptions； mental disorders； chronic disease； psychotropic drugs； adherence； pharmaceutical services |
| 阅读数： | 4 次 |
| 本月下载数： | 0 次 |
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