Inagaki T, Yamamoto T, Yoshida T, Hashizume Y, Inagaki A, Niimi T, Ojika K
Department of Internal Medicine, Nagoyashi Kohseiin Geriatric Hospital.
Nihon Ronen Igakkai Zasshi. 1994 Nov;31(11):872-8. doi: 10.3143/geriatrics.31.872.
The purpose of this study was to assess the role of institutions for the elderly, and special nursing homes in particular, with regard to senile dementia. The subjects consisted of 81 cases who were institutionalized in our special nursing home from early November, 1992 to late October, 1993. Of these, 37 cases (45.7%) showed clinical dementia at the time of institutionalization. The severity and respective percentages of dementia were as follows: slight degree 32.4%, moderate degree 27.0% and severe degree 40.6%. The severity of dementia demonstrated significant correlation with age. Hasegawa's Dementia Scale, activity of daily living and physical conditions. The admission rate (40.5%) of the demented group for physical diseases was significantly higher than that (22.7%) of the non-demented group. The majority of families of both groups first sought advice at institutions other than our special nursing home and the welfare office in the city, prior to being institutionalized. The referral rate from such institutions was far higher than that for direct entry from their homes. We consider that special nursing homes, in addition to carrying for daily living requirements, should pay great attention to physical diseases in patients suffering from senile dementia, and cooperate with medical institutes, particularly referring hospitals, and other welfare and health facilities, in this regard.
本研究的目的是评估养老机构，特别是特殊养老院在老年痴呆症方面所起的作用。研究对象包括1992年11月初至1993年10月底入住我们特殊养老院的81例老人。其中，37例（45.7%）在入住时已患有临床痴呆症。痴呆症的严重程度及各自所占百分比分别为：轻度32.4%，中度27.0%，重度40.6%。痴呆症的严重程度与年龄、长谷川痴呆量表、日常生活活动能力及身体状况显著相关。痴呆组患躯体疾病的入住率（40.5%）显著高于非痴呆组（22.7%）。两组中大多数家庭在入住养老院之前，首先向我们特殊养老院和市内福利机构以外的机构咨询。这些机构的转诊率远高于直接从家中入住的比率。我们认为，特殊养老院除了满足日常生活需求外，还应高度关注老年痴呆症患者的躯体疾病，并在这方面与医疗机构，特别是转诊医院以及其他福利和卫生机构开展合作。
