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[老年精神科大学医院科室谵妄的治疗。病因、治疗理念及结果]

[Treatment of delirium in a psychogeriatric university hospital department. Etiology, treatment concept and outcome].

作者信息

Djernes J K, Gulmann N C

机构信息

Arhus Universitetshospital, gerontopsykiatrisk afdeling.

出版信息

Ugeskr Laeger. 1999 Apr 5;161(14):2090-4.

Abstract

The purposes of the study were to account for aetiology, treatment concept, outcome of treatment, and discharge destination of delirious elderly inpatients. During one year all patients in a psychogeriatric university department were assessed on admission and at discharge with a selection of assessments measuring psychopathology, behavioural disorders, depressive symptoms, intellectual functioning, activities of daily living, and gait. Diagnoses were made according to the ICD-10 criteria for research. All patients with a principal diagnosis of delirium (n = 26) are accounted for. Delirious patients improved their health status significantly in all the assessments, and 86% of patients admitted from independent living were discharged to independent living. It is concluded that elderly inpatients with severe or prolonged delirium profit significantly from the treatment concept in all of the rated health aspects.

摘要

该研究的目的是分析老年谵妄住院患者的病因、治疗理念、治疗结果及出院去向。在一年时间里,对一所大学精神老年病科的所有患者在入院时和出院时进行了一系列评估,包括精神病理学、行为障碍、抑郁症状、智力功能、日常生活活动能力和步态评估。诊断依据国际疾病分类第10版(ICD - 10)研究标准进行。所有主要诊断为谵妄的患者(n = 26)均被纳入分析。谵妄患者在所有评估中健康状况均有显著改善,86% 从独立生活状态入院的患者出院后仍回到独立生活状态。得出的结论是,患有严重或持续性谵妄的老年住院患者在所有评估的健康方面均从该治疗理念中显著获益。

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