伊朗基于医院的研究：老年患者痴呆症的患病率。
Prevalence of Dementia Among Older Patients: A Hospital-Based Study in Iran.
机构信息
Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Rasoul-e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Am J Alzheimers Dis Other Demen. 2019 Nov-Dec;34(7-8):500-506. doi: 10.1177/1533317519848234. Epub 2019 May 7.
BACKGROUND
Dementia constitutes a public health hazard in developing countries. The aim of this study was to evaluate the prevalence of dementia and its associated factors in older hospitalized patients.
METHODS
The participants of this cross-sectional study consisted of older patients admitted to medical wards in Rasoul-e Akram hospital in Tehran, Iran. Mini-Mental State Examination, Mini-Cog test, Geriatric Depression Scale, Activities of Daily Living-Instrumental Activities of Daily Living (ADL-IADL) scale, and socioeconomic questionnaires were used.
RESULTS
A total of 205 elderly inpatients were included. The mean age was 71.33 ± 7.35 years; 63.4% of the participants had normal cognitive function, while 36.6% had some degree of cognitive impairment. There was a statistically significant relationship between gender, age, number of children, and occupation and the prevalence of dementia.
CONCLUSION
Appropriate cognitive screening of older patients upon admission to hospitals could help identify potential adverse events and enhance the quality of care for patients with comorbid dementia.
背景
痴呆症在发展中国家构成了公共卫生危害。本研究的目的是评估老年住院患者中痴呆症的患病率及其相关因素。
方法
本横断面研究的参与者包括伊朗德黑兰 Rasoul-e Akram 医院内科病房的老年患者。使用了简易精神状态检查、迷你认知测验、老年抑郁量表、日常生活活动-工具性日常生活活动（ADL-IADL）量表和社会经济调查问卷。
结果
共纳入 205 名老年住院患者。平均年龄为 71.33 ± 7.35 岁；63.4%的参与者认知功能正常，而 36.6%的参与者存在不同程度的认知障碍。性别、年龄、子女数量和职业与痴呆症的患病率之间存在统计学显著关系。
结论
在老年患者入院时进行适当的认知筛查可以帮助识别潜在的不良事件，并提高合并痴呆症患者的护理质量。
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