Wilson D N, Haire A
Department of Mental Handicap, University of Nottingham Queens Medical Centre.
BMJ. 1990 Dec 15;301(6765):1379-81. doi: 10.1136/bmj.301.6765.1379.
To determine what contact people with mental handicap had had with their general practitioner in the previous year; what prescribed drugs they were taking and whether these had been reviewed; when hearing and vision had last been screened; and what medical problems were found on examination.
Case series. SETTING-Day centre for adults with mental handicap.
A balanced sample of 75 of the 150 people attending the day centre. 10 Were excluded because consent was not given.
The subjects did not consult their general practitioners more frequently than the general population but were more likely to be taking prescribed drugs, and 57% of these prescriptions had not been reviewed by a doctor. Thirty three people failed vision screening, including 13 who wore glasses. Twenty seven of the 62 who were testable had a hearing impairment.
As only eight out of 65 people examined in the study did not have an appreciable problem brought to light, screening seems to be worth while. Whether such screening needs to be done by a medically qualified person needs further research.
确定智障人士在过去一年中与他们的全科医生有过哪些接触；他们正在服用哪些处方药以及这些药物是否经过复查；听力和视力上次筛查的时间；以及检查中发现了哪些医疗问题。
病例系列。地点——成人智障日间中心。
从150名在日间中心就诊的人中选取75人组成均衡样本。10人因未给予同意而被排除。
研究对象咨询全科医生的频率并不高于普通人群，但更有可能正在服用处方药，其中57%的处方未经过医生复查。33人视力筛查未通过，包括13名戴眼镜者。在62名可进行测试的人中，27人有听力障碍。
由于在该研究中接受检查的65人里只有8人没有明显问题，筛查似乎是值得的。这种筛查是否需要由具备医学资质的人员来进行，还需要进一步研究。
