Castillo Alonso P, García Olmos L, Barrios Encinas M, de Pablos Arribas F, Villar Herguedas C, de la Cuesta Benjumea A
Centro de Salud La Chopera, Alcobendas, Madrid.
Aten Primaria. 1995 Nov 30;16(9):526-30.
To describe the social-health profile of the population attending for the renewal of prescriptions for long-term treatments; to quantify the possible pharmacological interactions; to measure cognitive function in a sample of this population.
Crossover study.
Urban Health Centre.
All the patients (359) who were seen during a one month period at any of the centre's nursing stations for the renewal of long-term treatment prescriptions.
All the social-health data of every patient were collected on a form. Cognitive function was assessed in one of every three cases by means of Folstein's Minimental test. Average age was 64 +/- 0.76; 37% were men and 63% women. The mean number of chronic diagnoses per patient was 3.2 +/- 0.08 and of medicines per patient 2.9 +/- 0.09. 15% medicated themselves. Pharmacological interactions were possible in 41% of the patients who took more than one medicine. 8% were illiterate and 16% only knew how to read or write. 24.54% displayed overall cognitive deterioration and 48%, lapses in memory.
Patients seen at our Centre for renewal of prescriptions were an elderly population group, with pluripathology, taking several medicines, with a low cultural level and deterioration in their cognitive functions. The risk of pharmacological interactions is very high. Repeat prescriptions for long-term treatments should not just be an administrative function: it should be performed by trained health staff.
描述前来续签长期治疗处方人群的社会健康状况；量化可能存在的药物相互作用；测量该人群样本的认知功能。
交叉研究。
城市健康中心。
在该中心任何一个护理站为期一个月的时间内前来续签长期治疗处方的所有患者（359名）。
通过表格收集每位患者的所有社会健康数据。每三例中选取一例通过福尔斯坦简易精神状态检查表评估认知功能。平均年龄为64±0.76岁；男性占37%，女性占63%。每位患者慢性诊断的平均数量为3.2±0.08项，药物的平均数量为2.9±0.09种。15%的患者自行用药。服用不止一种药物的患者中，41%可能存在药物相互作用。8%为文盲，16%仅具备读写能力。24.54%表现出整体认知功能衰退，48%存在记忆失误。
在我们中心前来续签处方的患者为老年人群体，患有多种疾病，服用多种药物，文化水平较低且认知功能衰退。药物相互作用的风险非常高。长期治疗的重复处方不应仅仅是一项行政职能：应由经过培训的医护人员来执行。
