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[社区精神病学体系中的老年精神病学。1. 为居家患者提供的社区精神科服务]

[Geriatric psychiatry in the regimen of community psychiatry. 1. Community psychiatric services for patients living at home].

作者信息

Kørner E A, Maarbjerg K W

机构信息

Københavns Amts Sygehus Nordvang, psykiatrisk afdeling O.

出版信息

Ugeskr Laeger. 1990 Jan 29;152(5):303-5.

PMID:2301077
Abstract

On 1.1.1988 three community psychiatric teams were established in the gerontopsychiatric fields under the Copenhagen County Hospital, Nordvang. The objects were to supervise and treat patients over the age of 65 in their own homes or in nursing homes. This article is an account of the functions of two teams concerning patients living in their own homes during the period 1st January to 31st December 1988. A total of 125 patients were referred and 31 were admitted, five of these because of lack of nursing home beds. Women and persons living alone were most frequently involved. On the initiative of the teams, it proved possible to obtain increased covering by measures in the primary community in various fields. The frequency of psychopharmacological treatment was high and this was in agreement with the observation that 33% were psychotic and that many demented patients presented secondary psychiatric symptoms requiring treatment. It is concluded that it was possible to treat these patients in their own homes to a great extent, that the psychiatric service for elderly persons is improved and that cooperation between the hospital, referring general practitioner and the primary community had increased.

摘要

1988年1月1日,在哥本哈根郡医院诺德vang分院的老年精神病学领域成立了三个社区精神病学团队。其目的是在患者家中或养老院对65岁以上的患者进行监督和治疗。本文记述了其中两个团队在1988年1月1日至12月31日期间对居家患者开展的工作。共有125名患者被转诊,31名患者入院,其中5名是因为养老院床位不足。女性和独居者最常涉及。在团队的倡议下,通过在初级社区各领域采取措施,增加覆盖范围成为可能。精神药物治疗的频率很高,这与以下观察结果一致:33%的患者患有精神病,许多痴呆患者出现需要治疗的继发性精神症状。得出的结论是,在很大程度上可以在患者家中对这些患者进行治疗,老年人的精神科服务得到了改善,医院、转诊的全科医生和初级社区之间的合作也有所增加。

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