Darjani Abbas, Alizadeh Narges, Rafiei Elahe, Moulaei Meysam, Naseri Alavi Seyed Hamed, Eftekhari Hojat, Rafiei Rana, Gharaei-Nejad Kaveh, Mohtasham-Amiri Zahra
Department of Dermatology, Guilan University of Medical Sciences, Rasht, Iran.
Guilan University of Medical Sciences, Rasht, Iran.
Dermatol Res Pract. 2020 Nov 5;2020:8849355. doi: 10.1155/2020/8849355. eCollection 2020.
Geriatric health care has become a worldwide concern, but a few statistical studies were carried out about skin diseases in this age group in the nursing home of Iran.
In this study, we set out to determine the frequency as well as the age and gender distribution of dermatological diseases in nursing home old age residents.
In a cross-sectional study, all patients over 60 years who were living in a charity nursing home complex of Rasht in 2017 participated in this study. Baseline information on sociodemographic variables, past medical history, and medication were gathered by medical staff during a face-to-face interview. Full-body skin examination was done by dermatologists. Biopsy, and pathological and laboratory methods were used to confirm the diagnosis of suspected lesions or disease.
In this study, 259 people underwent the study. 52.9% were male, and their mean age was 73.5 years (SD = 9.1 years). Hypertension (20.9%); diabetes mellitus (9.7%), and hypothyroidism (2.3%) were the most common underlying diseases. Most of them (85.7%) had age-related skin changes. The benign neoplasm was the most common skin disease among patients (68.3%), followed by infectious diseases (46.3%) and erythemo-squamous (31.6%). None of them had precancerous lesions or skin cancers. There were not any differences between skin disorders and gender or age groups in this study.
Our study suggests that skin manifestations and diseases are common among nursing home old age residents in this area. Therefore, this should constitute one of the top priorities of aged care physicians and nurses.
老年保健已成为全球关注的问题，但在伊朗养老院中，针对该年龄组皮肤疾病的统计研究较少。
在本研究中，我们旨在确定养老院老年居民皮肤病的发病率以及年龄和性别分布情况。
在一项横断面研究中，2017年居住在拉什特一家慈善养老院综合设施中的所有60岁以上患者参与了本研究。医护人员在面对面访谈中收集了社会人口统计学变量、既往病史和用药情况的基线信息。皮肤科医生进行了全身皮肤检查。采用活检、病理和实验室方法确诊疑似病变或疾病。
本研究中有259人接受了调查。男性占52.9%，平均年龄为73.5岁（标准差=9.1岁）。高血压（20.9%）、糖尿病（9.7%）和甲状腺功能减退症（2.3%）是最常见的基础疾病。他们中的大多数人（85.7%）有与年龄相关的皮肤变化。良性肿瘤是患者中最常见的皮肤病（68.3%），其次是传染病（46.3%）和红斑鳞屑病（31.6%）。他们中没有人有癌前病变或皮肤癌。本研究中皮肤疾病在性别或年龄组之间没有差异。
我们的研究表明，该地区养老院老年居民中皮肤表现和疾病很常见。因此，这应成为老年护理医生和护士的首要任务之一。
