老年精神病学与普通精神病学对老年人的住院治疗对比。
Geriatric psychiatry versus general psychiatry inpatient treatment of the elderly.
作者信息
Yazgan Izzet Cagri, Greenwald Blaine S, Kremen Neil J, Strach Joan, Kramer-Ginsberg Elisse
机构信息
Department of Psychiatry, Zucker Hillside Hospital, Long Island Jewish Medical Center, North Shore-Long Island Jewish Health System, Glen Oaks, NY 11004, USA.
出版信息
Am J Psychiatry. 2004 Feb;161(2):352-5. doi: 10.1176/appi.ajp.161.2.352.
OBJECTIVE
The authors compared the clinical treatment given older psychiatric inpatients on a geriatric psychiatry unit and a general psychiatry unit.
METHOD
The charts of 50 randomly selected general psychiatry inpatients over the age of 65 years and 50 inpatients from the geriatric psychiatry unit who were matched for age, gender, and primary diagnosis were reviewed.
RESULTS
Significantly greater percentages of older inpatients treated on the geriatric psychiatry unit received complete organic medical workups, structured cognitive assessment, aging-sensitive aftercare referral, and monitoring of psychopharmacological side effects and blood levels than comparable patients on a general psychiatry unit.
CONCLUSIONS
Geriatric psychiatry subspecialty inpatient care appears to be associated with distinct clinically relevant assessment and treatment advantages. Continuing geropsychiatric education of general psychiatrists is indicated.
目的
作者比较了老年精神科病房和普通精神科病房中老年精神科住院患者所接受的临床治疗。
方法
回顾了50名随机选取的65岁以上普通精神科住院患者以及50名来自老年精神科病房、年龄、性别和初步诊断相匹配的住院患者的病历。
结果
与普通精神科病房的同类患者相比，在老年精神科病房接受治疗的老年住院患者中，接受全面器质性医学检查、结构化认知评估、对衰老敏感的后续护理转诊以及精神药物副作用和血药浓度监测的比例明显更高。
结论
老年精神科亚专业住院护理似乎与明显的临床相关评估和治疗优势相关。普通精神科医生应持续接受老年精神病学教育。
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