Choksomngam Yanee, Petrungjarern Terdsak, Ketkit Perapoln, Boontak Pakpoom, Panya Ratchanon, Wongpakaran Tinakon, Wongpakaran Nahathai, Lerttrakarnnon Peerasak
Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Medicina (Kaunas). 2023 Sep 11;59(9):1644. doi: 10.3390/medicina59091644.
The global population is undergoing rapid aging, resulting in an increase in geriatric syndromes and hidden health issues such as elder abuse. However, the prevalence of elder abuse varies across different settings. The objective of this study is to determine the prevalence and factors associated with elder abuse at the outpatient department of a super-tertiary care hospital in northern Thailand. This cross-sectional study involved 210 elderly patients who visited Maharaj Nakorn Chiang Mai Hospital between May and August 2022. The participants completed several assessments, including the Mini-Cog, Thai Geriatric Depression Scale-6, Core Symptom Index-15, FRAIL scale, Barthel Activities of Daily Living, Interview Guideline for Screening for Elder Abuse, and Diagnostic Criteria for Elder Abuse. Fisher's exact test was used to examine the association between the factors and elder abuse. The Screening for Elder Abuse yielded noteworthy results, with 15.7% of the elderly patients having experienced psychological abuse. However, only a smaller subset of study participants, comprising five individuals or 2.38%, met the diagnostic criteria for elder abuse. Furthermore, statistical analysis revealed no significant correlation between elder abuse and the other factors examined in the study. As a result, it is crucial for hospitals to consider preventive measures and implement routine screening protocols.
全球人口正在迅速老龄化，导致老年综合征和诸如虐待老人等隐性健康问题不断增加。然而，虐待老人的发生率在不同环境中有所不同。本研究的目的是确定泰国北部一家超级三级护理医院门诊部虐待老人的发生率及其相关因素。这项横断面研究纳入了2022年5月至8月期间前往清迈玛哈拉吉医院就诊的210名老年患者。参与者完成了多项评估，包括简易认知评估、泰国老年抑郁量表-6、核心症状指数-15、衰弱量表、巴氏日常生活活动量表、虐待老人筛查访谈指南以及虐待老人诊断标准。采用Fisher精确检验来研究这些因素与虐待老人之间的关联。虐待老人筛查得出了值得注意的结果，15.7%的老年患者曾遭受心理虐待。然而，只有一小部分研究参与者，即五人或2.38%，符合虐待老人的诊断标准。此外，统计分析表明，虐待老人与研究中考察的其他因素之间没有显著相关性。因此，医院必须考虑预防措施并实施常规筛查方案。
