摘要
Objective: To examine the practice of concealing drugs in patients foodstu ff in nursing homes. Design: Structured interview study with data collected by s tructured interview. Setting: All five health regions in Norway. Participants: P rofessional carers of 1362 patients in 160 regular nursing home units and 564 pa tients in 90 special care units for people with dementia. Main outcome measures: Frequency of concealment of drugs; who decided to conceal the drugs; how this p ractice was documented in the patients records; and what types of drugs were given this way. Results: 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received d rugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients records in 40% (96/241) of cases. The covert adminis tration of drugs was more often documented when the physician took the decision to hide the drugs in the patient s foodstuff (57% ; 27/47) than when the pers on who made the decision was unknown or not recorded (23% ; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxi olytics compared with patients who were given their drugs openly. Conclusions: T he covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the p atients records.
Objective: To examine the practice of concealing drugs in patients foodstu ff in nursing homes. Design: Structured interview study with data collected by s tructured interview. Setting: All five health regions in Norway. Participants: P rofessional carers of 1362 patients in 160 regular nursing home units and 564 pa tients in 90 special care units for people with dementia. Main outcome measures: Frequency of concealment of drugs; who decided to conceal the drugs; how this p ractice was documented in the patients records; and what types of drugs were given this way. Results: 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received d rugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients records in 40% (96/241) of cases. The covert adminis tration of drugs was more often documented when the physician took the decision to hide the drugs in the patient s foodstuff (57% ; 27/47) than when the pers on who made the decision was unknown or not recorded (23% ; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxi olytics compared with patients who were given their drugs openly. Conclusions: T he covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the p atients records.
出处
《世界核心医学期刊文摘（神经病学分册）》
2005年第5期7-7,共1页
Digest of the World Core Medical Journals:Clinical Neurology
