非精神科老年住院患者的精神疾病发病率。
Psychiatric morbidity in non-psychiatric geriatric inpatients.
机构信息
Junior Resident, Department of Psychiatry, Medical College, Amritsar, punjab.
出版信息
Indian J Psychiatry. 2006 Jan;48(1):56-61. doi: 10.4103/0019-5545.31621.
AIM
To evaluate the profile of psychiatric disorders in geriatric inpatients.
METHODS
A total of 528 patients (age 65 years and above) admitted to various departments of the teaching hospital attached to the Government Medical College, Amritsar from 15 September 2001 to 14 September 2002 were included in the study. Psychiatric assessment of patients was made on the basis of psychogeriatric assessment scales (PAS) and present state examination (PSE-ninth edition, 1974). The ICD-10 criteria were used for psychiatric diagnoses. General medical conditions were diagnosed by consultants of the respective departments. The patients were finally assessed by the consultant of the Department of Psychiatry. The obtained data were analysed using the chi-square test.
RESULTS
Of the 528 patients, 260 (49%) had psychiatric co-morbidity. The most common psychiatric disorder was depression (25.94%), followed by adjustment disorders (11%), anxiety disorders (4.54%), dementias (3.6%), delirium (3%), bipolar disorders (0.8%), and substance-related disorders (0.4%).
CONCLUSION
The above findings emphasize the importance of consultation-liaison psychiatry, especially in geriatric patients.
目的
评估老年住院患者的精神障碍特征。
方法
本研究纳入了 2001 年 9 月 15 日至 2002 年 9 月 14 日期间，来自阿姆利则政府医学院附属医院各个科室的 528 名（年龄 65 岁及以上）住院患者。根据心理老年评估量表（PAS）和现状检查（1974 年第九版 PSE）对患者进行精神评估。使用 ICD-10 标准进行精神诊断。由各科室顾问诊断一般医疗状况。最后由精神病学系顾问对患者进行评估。使用卡方检验分析获得的数据。
结果
在 528 名患者中，260 名（49%）存在合并的精神疾病。最常见的精神障碍是抑郁症（25.94%），其次是适应障碍（11%）、焦虑障碍（4.54%）、痴呆症（3.6%）、谵妄（3%）、双相情感障碍（0.8%）和物质相关障碍（0.4%）。
结论
上述发现强调了联络会诊精神病学的重要性，特别是在老年患者中。
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