日本精神病医院接受人工营养患者的长期生存情况
Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals.
作者信息
Abe Keiichi, Yamashita Ryuko, Kondo Keiko, Takayama Keiko, Yokota Osamu, Sato Yoshiki, Kawai Mitsumasa, Ishizu Hideki, Nakashima Tadao, Hayashi Hideki, Nakata Kenji, Asaba Hiroyuki, Kadota Koichi, Tanaka Kazuyoshi, Morisada Yumi, Oshima Etsuko, Terada Seishi
机构信息
Department of Psychiatry, Mannari Hospital, Okayama, Japan.
Department of Psychiatry, Kawada Hospital, Okayama, Japan.
出版信息
Dement Geriatr Cogn Dis Extra. 2016 Oct 7;6(3):477-485. doi: 10.1159/000448242. eCollection 2016 Sep-Dec.
BACKGROUND/AIMS: Most patients with dementia suffer from dysphagia in the terminal stage of the disease. In Japan, most elderly patients with dysphagia receive either tube feeding or total parenteral nutrition.
METHODS
In this study, we investigated the factors determining longer survival with artificial nutrition. Various clinical characteristics of 168 inpatients receiving artificial nutrition without oral intake in psychiatric hospitals in Okayama Prefecture, Japan, were evaluated.
RESULTS
Multiple logistic regression analysis showed that the duration of artificial nutrition was associated with a percutaneous endoscopic gastrostomy (PEG) tube, diagnosis of mental disorder, low MMSE score, and absence of decubitus.
CONCLUSION
Patients with mental disorders survived longer than those with dementia diseases on artificial nutrition. A PEG tube and good nutrition seem to be important for long-term survival.
背景/目的：大多数痴呆患者在疾病终末期会出现吞咽困难。在日本，大多数吞咽困难的老年患者接受管饲或全胃肠外营养。
方法
在本研究中，我们调查了决定人工营养患者更长生存期的因素。对日本冈山县精神病医院168例接受人工营养且无经口摄入的住院患者的各种临床特征进行了评估。
结果
多因素逻辑回归分析显示，人工营养持续时间与经皮内镜下胃造口术（PEG）管、精神障碍诊断、低MMSE评分以及无褥疮有关。
结论
在接受人工营养的情况下，精神障碍患者比痴呆患者存活时间更长。PEG管和良好的营养状况似乎对长期生存很重要。
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