López-Peig C, Serrano-Fuentes R M, Valverde-Trillo A, Casabella-Abril B, Mundet-Tudurí X
ABS Raval Sud, Barcelona, España.
Aten Primaria. 2006 May 15;37(8):446-51. doi: 10.1157/13088884.
To analyse the degree of monitoring by doctors, nurses, and other health professionals of patients taking psychotropic medication. DESIGN. Retrospective, observational study of patients of both sexes and over 15 years old, who took psychotropic medication and had attended a minimum of ten times the same doctor-nurse primary care unit (PCU). Their monitoring during 2 year-long periods was studied: a first period (the first year after diagnosis) and a second period from October 2001 to October 2002.
Primary care in the Raval Sud District, Barcelona, Spain.
A total of 730 clinical histories were reviewed, of which 200 (27%) met inclusion criteria.
The most common diagnosis was anxiety-depression disorder (58%), and 14.5% of patients had no recorded diagnosis. 35.5% were patients taking more than one medicine. The most common drug group was the benzodiazepines (60.4%). Significant differences in the number of controls were found between the 2 periods and between different PCUs. The mean difference between periods was -0.5, with 95% CI at -1.0: clearly the degree of monitoring drops over time.
These patients' follow-up was not monitored well, which poses the need to create clear aims and protocols for the doctor-nurse team, to thus assist the treatment of patients with mental health problems.
分析医生、护士及其他医疗专业人员对服用精神药物患者的监测程度。设计：对年龄在15岁以上、服用精神药物且至少十次就诊于同一医生 - 护士基层医疗单位（PCU）的男女患者进行回顾性观察研究。研究他们在两个为期2年的时间段内的监测情况：第一个时间段（诊断后的第一年）和第二个时间段（2001年10月至2002年10月）。
西班牙巴塞罗那拉瓦尔南区的基层医疗。
共审查了730份临床病历，其中200份（27%）符合纳入标准。
最常见的诊断是焦虑 - 抑郁障碍（58%），14.5%的患者无诊断记录。35.5%的患者服用不止一种药物。最常见的药物类别是苯二氮䓬类（60.4%）。在两个时间段之间以及不同的PCU之间，检查次数存在显著差异。时间段之间的平均差异为 -0.5，95%置信区间为 -1.0：显然，监测程度随时间下降。
这些患者的随访监测不佳，这表明需要为医生 - 护士团队制定明确的目标和方案，从而辅助治疗有心理健康问题的患者。
