Jürschik Pilar, Viladrosa Maria, Botigué Teresa, Lavedán Ana, Vena Ana Belen, Noguera Teresa
Departamento de Enfermería, Facultat de Enfermería, Universidad de Lleida, Lleida, Spain.
Rev Esp Geriatr Gerontol. 2013 Mar-Apr;48(2):55-8. doi: 10.1016/j.regg.2012.05.002. Epub 2013 Jan 20.
To know the prevalence of mistreatment and to identify the associated factors among elderly people without cognitive impairment, seen in the geriatric unit, located in the hospital emergency area.
Cross-sectional study of a population of 65 years or older assessed by the geriatric Interdisciplinary Social Welfare Functional Unit (ISSFU) of the emergency area in the Arnau de Vilanova hospital of Lleida. We excluded participants with cognitive impairment. The total number of participants was 127. The suspicion of mistreatment was measured using the Questionnaire of the American Medical Association (AMA) and the Canadian Task Force (CTF). The variables studied were social demographic characteristics and functional dependency.
Prevalence of suspicion of mistreatment was 29.1% (95% CI: 0.21-0.37). The most frequent subtypes were neglect and psychological, and less frequent was negligence. Associated factors were being female, being in unpaid work, being a widow and living alone.
Three out of ten elderly people were identified as possible victims of abuse. Due to the relative isolation of many of the elderly who were abused, an unexpected visit to the emergency area may be the only opportunity for detection. Geriatric units located in this area should include the suspicion of mistreatment of this population in their comprehensive assessment. For this, it is necessary to have tool with a high degree of sensitivity and specificity for detection of abuse in the elderly.
了解老年科（位于医院急诊区）中无认知障碍老年人的虐待患病率，并确定相关因素。
对莱里达省阿尔瑙·德·维拉诺瓦医院急诊区老年跨学科社会福利功能单元（ISSFU）评估的65岁及以上人群进行横断面研究。我们排除了有认知障碍的参与者。参与者总数为127人。使用美国医学协会（AMA）问卷和加拿大特别工作组（CTF）问卷来衡量虐待嫌疑情况。所研究的变量为社会人口统计学特征和功能依赖情况。
虐待嫌疑患病率为29.1%（95%可信区间：0.21 - 0.37）。最常见的亚型是忽视和心理虐待，较少见的是疏忽。相关因素包括女性、从事无薪工作、丧偶和独居。
每十名老年人中有三人被确定为可能的虐待受害者。由于许多受虐待老年人相对孤立，意外前往急诊区可能是发现问题的唯一机会。位于该区域的老年科应在其综合评估中纳入对该人群虐待嫌疑情况的考量。为此，需要具备对老年人虐待检测具有高度敏感性和特异性的工具。
