Jørgensen O, Petersen P, Glue P
Middelfart Sygehus, Psykiatrisk Afdeling.
Ugeskr Laeger. 1990 Jan 22;152(4):232-5.
This investigation is a retrospective registration on the basis of the case histories of 290 patients with the main diagnosis dementia who were admitted to a psychiatric hospital in the years 1982 and 1983. The average age was 77 years. Patients with their own homes comprized 61% but only 28% were admitted from their own homes. More than 70% of the patients admitted were described as suffering from moderate or severe dementia on admission. 93% were admitted voluntarily and 91% during the daytime. The reason for admission most frequently registered was the patient's suffering. In 66% of the cases, the general practitioner had attempted treatment prior to admission. During hospitalization the majority of the patients received medicinal treatment. At the conclusion of treatment, 52% were found to be improved and 34% unchanged. 46% of the patients were assessed as requiring maximum nursing-home treatment and 29% were considered to need psychiatric nursing-home treatment. 8% could be discharged to their own homes. The average durations of hospitalization, duration of treatment and waiting-time were reviewed. It is noteworthy that the waiting-time, 311 days, was found to be nearly as long as the duration of treatment, 316 days. In addition, the waiting-times for nursing-homes with maximum care were calculated to be 229 days on an average and for psychiatric nursing homes 596 days.
本调查是基于1982年和1983年入住一家精神病院的290例主要诊断为痴呆症患者的病历进行的回顾性登记。平均年龄为77岁。有自己住所的患者占61%，但只有28%是从自己家中入院的。入院患者中超过70%在入院时被描述为患有中度或重度痴呆症。93%的患者是自愿入院的，91%是在白天入院的。最常记录的入院原因是患者的痛苦。在66%的病例中，全科医生在入院前曾尝试进行治疗。住院期间，大多数患者接受了药物治疗。治疗结束时，52%的患者病情好转，34%的患者病情未变。46%的患者被评估为需要最高级别的养老院治疗，29%的患者被认为需要精神病养老院治疗。8%的患者可以出院回家。对平均住院时间、治疗时间和等待时间进行了审查。值得注意的是，发现等待时间为311天，几乎与治疗时间316天一样长。此外，最高护理级别的养老院的平均等待时间计算为229天，精神病养老院的平均等待时间为596天。
