Goldman H H, Feder J, Scanlon W
Hosp Community Psychiatry. 1986 Mar;37(3):269-72. doi: 10.1176/ps.37.3.269.
A reanalysis of data from the 1977 National Nursing Home Survey, including data not available earlier, led to an estimate that 668,000 chronic mentally ill patients reside in nursing homes. Several subpopulations of nursing home residents were also identified and compared, which showed, for instance, that residents with only mental disorders were younger, were less likely to need the help of another person in daily activities, and were much less likely to be totally dependent than residents with only physical disorders. However, not surprisingly, mentally ill residents were more likely to have behavior problems and to have much longer stays. Residents diagnosed as senile, with or without a physical disorder, more closely resembled the purely physically ill than the purely mentally ill patients. The data illustrate the wide range of needs of mentally ill nursing home residents and reinforce the importance of assessing and improving the appropriateness of care offered.
对1977年全国养老院调查数据进行的重新分析（包括之前未获取的数据）得出一项估计，即有66.8万名慢性精神病患者居住在养老院。还确定并比较了养老院居民的几个亚群体，结果显示，例如，仅患有精神障碍的居民更年轻，在日常活动中需要他人帮助的可能性更小，与仅患有身体疾病的居民相比，完全依赖他人的可能性要小得多。然而，不出所料的是，患有精神疾病的居民更有可能出现行为问题，住院时间也长得多。被诊断为老年痴呆症的居民，无论有无身体疾病，与纯粹身体患病的患者相比，更类似于纯粹精神患病的患者。这些数据说明了患有精神疾病的养老院居民的广泛需求，并强化了评估和提高所提供护理适宜性的重要性。
