Ye Junrong, Pan Yuanxin, Wei Yanheng, Yuan Lexin, Hu Zhanhua, Wu Shengwei, Chen Jiao, Wang Wen, Zhou Tingwei, Wu Chenxin, Wang Haoyun, Guo Jianxiong, Ning Yuping, Huang Xingxiao, Xiao Aixiang
Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.
Guangzhou Medical University, Guangzhou, China.
BMC Psychiatry. 2024 Dec 27;24(1):952. doi: 10.1186/s12888-024-06402-x.
To investigate the influencing factors of the number of physical diseases in elderly hospitalized psychiatric patients.
A total of 332 hospitalized elderly patients with mental illness were enrolled in this study. The number of combined physical diseases was divided into three groups, which were 0, 1 ~ 2, and ≥ 3. Data collected included sociodemographic characteristics, depressive symptoms, anxiety symptoms, delirium status, social support, medication adherence, social functioning, ability to perform daily living, and swallowing function.
The sample included 64.2% of female patients, mainly concentrated in 60 ~ 69 years old (48.2%). The length of hospital stay of patients was mainly 15 ~ 30 days (55.7%), and the course of disease was mainly 2 ~ 10 years (38.3%). After adjusting for confounding factors such as gender, poor lifestyle habits, course of disease, length of hospital stay, psychiatric symptoms, depressive symptoms, anxiety symptoms, delirium, social functioning, social support, and drug therapy compliance, we found that the number of physical disorders in elderly patients with mental illness was related to age, ability of daily living, and swallowing function. The increase of age, the decrease of the ability of daily living, and poor swallowing function contribute to a higher number of comorbid medical disorders in elderly patients with mental illness (P < 0.05).
According to the results, age, ability of daily living and swallowing function were the main influencing factors in the number of complicated physical diseases in elderly patients with mental illness. Future research should focus on improving the daily living ability and swallowing function of elderly patients with mental illness, in order to reduce the prevalence of other physical diseases in elderly patients with mental illness.
探讨老年住院精神科患者躯体疾病数量的影响因素。
本研究共纳入332例住院老年精神疾病患者。将合并躯体疾病的数量分为三组，分别为0、1至2、≥3。收集的数据包括社会人口学特征、抑郁症状、焦虑症状、谵妄状态、社会支持、服药依从性、社会功能、日常生活能力和吞咽功能。
样本中女性患者占64.2%，主要集中在60至69岁（48.2%）。患者住院时间主要为15至30天（55.7%），病程主要为2至10年（38.3%）。在调整了性别、不良生活习惯、病程、住院时间、精神症状、抑郁症状、焦虑症状、谵妄、社会功能、社会支持和药物治疗依从性等混杂因素后，我们发现老年精神疾病患者的躯体疾病数量与年龄、日常生活能力和吞咽功能有关。年龄的增加、日常生活能力的下降以及吞咽功能差导致老年精神疾病患者合并躯体疾病的数量增加（P<0.05）。
根据研究结果，年龄、日常生活能力和吞咽功能是老年精神疾病患者合并躯体疾病数量的主要影响因素。未来的研究应侧重于提高老年精神疾病患者的日常生活能力和吞咽功能，以降低老年精神疾病患者其他躯体疾病的患病率。
