新入住养老院的成年重大精神疾病患者的合并症和功能状况。
Medical comorbidity and functional status among adults with major mental illness newly admitted to nursing homes.
机构信息
Department of Psychiatry and the Center for Aging Research, Dartmouth Medical School, 46 Centerra Parkway, Box 301, Lebanon, NH 03766, USA.
出版信息
Psychiatr Serv. 2011 Sep;62(9):1098-100. doi: 10.1176/appi.ps.62.9.1098.
OBJECTIVE
This study compared comorbid conditions and functional status among elderly and nonelderly individuals with mental illness who were newly admitted to nursing homes (N = 286,411).
METHODS
Data were drawn from the Centers for Medicare & Medicaid Services national registry of nursing home residents from the Minimum Data Set in 2008.
RESULTS
Among newly admitted individuals with schizophrenia, those younger than 65 accounted for a majority (60.3%) of admissions and had lower rates of medical illnesses and were more likely to be classified as low-care status than individuals who were 65 or older. Most (81%) new admissions with depression were 65 or older. Among all nonelderly admissions, individuals with depression had the highest rates of medical comorbidity.
CONCLUSIONS
Many adults younger than 65 with schizophrenia who were newly admitted to nursing homes lacked clinical indications for skilled nursing care. In contrast, higher rates of medical conditions among nonelderly adults with depression underscored the need for integrated psychiatric and medical care in nursing homes.
目的
本研究比较了新入住疗养院的老年和非老年精神疾病患者的合并症和功能状态（N=286411）。
方法
数据来自 2008 年医疗保险和医疗补助服务中心国家疗养院居民登记处的最低数据组。
结果
在新入住的精神分裂症患者中，65 岁以下的患者占大多数（60.3%），他们的医疗疾病发病率较低，且更有可能被归类为低护理状态，而非 65 岁及以上的患者。大多数（81%）新入住的抑郁症患者年龄在 65 岁或以上。在所有非老年患者中，患有抑郁症的患者合并症发病率最高。
结论
许多新入住疗养院的 65 岁以下精神分裂症成年患者缺乏接受熟练护理的临床指征。相比之下，非老年抑郁症患者的医疗状况发生率较高，突出了在疗养院中需要整合精神科和医疗护理。
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