Rovner B W, Steele C D, German P, Clark R, Folstein M F
Department of Psychiatry and Human Behavior, Thomas Jefferson University/Jefferson Medical College, Wills Eye Hospital, Philadelphia, PA 19107.
J Geriatr Psychiatry Neurol. 1992 Apr-Jun;5(2):102-5. doi: 10.1177/002383099200500207.
The prevalence of psychiatric disorders and behavioral disturbances in nursing homes is high, but the relationship between the two is unknown. We studied 454 new admissions who were diagnosed by research psychiatrists using DSM-III-R criteria and compared patients who nursing staff designated as cooperative or uncooperative by psychiatric diagnosis and use of restraints and neuroleptics. Uncooperative patients (n = 79; 17.4%) had a variety of psychiatric disorders (total, 87.3%) but particularly had dementia syndromes complicated by delusions, depression, or delirium (44.3%). Uncooperative patients were more frequently restrained and prescribed neuroleptics. Determining the origins of behavior disorders in patients with psychiatric disorders in nursing homes may reduce behavior disturbances.
疗养院中精神疾病和行为障碍的患病率很高，但两者之间的关系尚不清楚。我们对454名新入院患者进行了研究，这些患者由研究精神科医生根据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准进行诊断，并比较了护理人员根据精神科诊断以及是否使用约束措施和抗精神病药物指定为合作或不合作的患者。不合作患者（n = 79；17.4%）患有多种精神疾病（总计87.3%），但尤其患有伴有妄想、抑郁或谵妄的痴呆综合征（44.3%）。不合作患者更常受到约束并被开具抗精神病药物。确定疗养院中患有精神疾病患者行为障碍的根源可能会减少行为干扰。
