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[痴呆患者入住精神病院的模式。一项1972 - 1988年期间的登记研究]

[Admission patterns of patients with dementia to psychiatric hospitals. A registry study over the period 1972-1988].

作者信息

Sørensen L, Mortensen P B

机构信息

Afdeling for psykiatrisk demografi, Psykiatrisk Hospital i Arhus.

出版信息

Ugeskr Laeger. 1994 Sep 26;156(39):5657-61.

PMID:7985246
Abstract

This paper describes the admission and discharge pattern in Danish psychiatric hospitals for first-ever admitted demented patients (290, 293.09, 293.19 ICD-8) aged 65 years and over admitted in the period 1972 to 1988. The results are based on data from the Danish Psychiatric Register. The admission rate, the commitment rate and the length of stay decreased significantly from 1972 to 1988. The readmission frequency did not change during the period. A significantly increasing proportion of the patients were admitted from somatic hospitals, and there was a tendency to a higher discharge rate to somatic hospitals. Two factors may have caused the decline in admission rate, the improvement of the psychogeriatric services in the eighties and the decline in the number of psychiatric beds. The psychiatric hospitals no longer serve as nursing homes for demented patients. The results also seem to indicate that for institutional care for demented patients may have been transferred from the psychiatric hospitals to other services e.g. the somatic departments and nursing homes.

摘要

本文描述了1972年至1988年期间首次入院的65岁及以上患有痴呆症患者(国际疾病分类第八版编码为290、293.09、293.19)在丹麦精神病医院的收治和出院模式。研究结果基于丹麦精神病学登记册的数据。从1972年到1988年,入院率、住院率和住院时长均显著下降。在此期间,再入院频率没有变化。从综合医院收治的患者比例显著增加,且有向综合医院更高出院率发展的趋势。入院率下降可能有两个因素,一是八十年代老年精神病服务的改善,二是精神病床位数量的减少。精神病医院不再充当痴呆症患者的疗养院。研究结果似乎还表明,痴呆症患者的机构护理可能已从精神病医院转移至其他服务机构,如综合医院科室和疗养院。

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