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[精神病学在预防老年人意外跌倒中的作用]

[Role of psychiatry in prevention of accidental falling in the aged].

作者信息

Asada Takashi

出版信息

Seishin Shinkeigaku Zasshi. 2005;107(4):378-82.

PMID:15920948
Abstract

The high incidence of falling among the psychogeriatric patients has recently been acknowledged. Elderly patients with depression and dementia, and long-term hospitalized schizophrenic patients are particularly prone to falling. By sustaining falling, these patients suffer from not only injuries including femoral neck fracture but also consequent fall-phobia. As the results, quality of life and the prognosis of psychiatric illnesses of the fallers are affected. In order to prevent fallings, we must pay attention to the prescribed drugs, nursing issues and environmental aspects of wards. Muscle strengthening exercises may be especially useful for the prevention of falls among long-term hospitalized schizophrenic patients.

摘要

近期,老年精神科患者中跌倒的高发生率已得到公认。患有抑郁症和痴呆症的老年患者以及长期住院的精神分裂症患者尤其容易跌倒。持续跌倒不仅会使这些患者遭受包括股骨颈骨折在内的伤害,还会导致随之而来的跌倒恐惧。结果,跌倒者的生活质量和精神疾病的预后都会受到影响。为了预防跌倒,我们必须关注病房的处方药、护理问题和环境因素。加强肌肉锻炼对于预防长期住院的精神分裂症患者跌倒可能特别有用。

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