Mann A H, Graham N, Ashby D
Age Ageing. 1984 Sep;13(5):257-65. doi: 10.1093/ageing/13.5.257.
The mental state, demographic details, dependency level and presence of problem behaviours have been recorded for 438 (82%) of the residents of the 12 Part III homes, managed by the London Borough of Camden, using standard interview. One third of the residents were suffering from severe dementia, another third from mild to moderate dementia and one third were free of dementia. Of the latter two groups, 38% were depressed. The prevalence rate of dementia increased with the age of the resident and was higher among females. Depression was associated with the presence of visual handicap and incontinence, and was commoner when the resident had been admitted from his own home or belonged to a minority religion. A third of residents needed daily help with dressing and use of the lavatory, one quarter were incontinent each day. Depression and dementia both were associated with increased rates of dependency and of problem behaviours (incontinence, wandering, aggression). This survey has revealed evidence of sufficient psychiatric morbidity in these homes to support a re-appraisal of their current aims, staffing and health-care provision.
通过标准访谈，对由卡姆登伦敦自治市管理的12所第三部分类型养老院中的438名（82%）居民的精神状态、人口统计学细节、依赖程度和问题行为的存在情况进行了记录。三分之一的居民患有重度痴呆症，另外三分之一患有轻度至中度痴呆症，还有三分之一没有痴呆症。在后两组中，38%的人患有抑郁症。痴呆症的患病率随着居民年龄的增长而增加，且女性患病率更高。抑郁症与视力障碍和大小便失禁的存在有关，当居民从自己家中入院或属于少数宗教群体时更为常见。三分之一的居民在穿衣和使用厕所方面每天需要帮助，四分之一的居民每天大小便失禁。抑郁症和痴呆症都与依赖程度和问题行为（大小便失禁、徘徊、攻击行为）的增加有关。这项调查揭示了这些养老院中存在足够精神疾病发病率的证据，以支持对其当前目标、人员配备和医疗保健提供情况进行重新评估。
