Thudium D L, Laugesen L P, Sanders S C
Geriatrisk genoptraeningsafdeling, Sundby Hospital, København.
Ugeskr Laeger. 1993 Jun 21;155(25):1958-62.
Traditionally, patients suffering from dementia are treated in psychiatric wards. In many geriatric patients, confusion/dementia is one of several problems prohibiting an early return to the previous way of living. To provide the best treatment, one of our geriatric wards was used for these patients. Based on our experiences from the first 58 patients discharged during the period 09.11.89-31.01.91, it was possible to create and secure a stable environment, with suitable activities for the satisfaction of the patients, their families and the staff. A structured procedure, including rating scales, was a great help in disclosing the patients' problems. One quarter of the patients were not demented, but temporarily confused due to other reasons. One third of the demented patients had no public assistance. It was necessary to discharge 60% of the demented and only 10% of the non-demented patients to nursing homes. Sheltered home-like living could be an alternative to the expensive nursing homes.
传统上，患有痴呆症的患者在精神科病房接受治疗。在许多老年患者中，意识模糊/痴呆是妨碍他们早日恢复以往生活方式的诸多问题之一。为了提供最佳治疗，我们的一个老年病房被用于收治这些患者。根据我们在1989年11月9日至1991年1月31日期间首批出院的58名患者的经验，有可能营造并确保一个稳定的环境，开展合适的活动，以满足患者、其家属和工作人员的需求。包括评定量表在内的结构化程序，对揭示患者的问题有很大帮助。四分之一的患者并非痴呆，而是由于其他原因暂时意识模糊。三分之一的痴呆患者没有公共援助。有必要将60%的痴呆患者和仅10%的非痴呆患者送往养老院。类似家庭庇护所的生活方式可以作为昂贵养老院的一种替代选择。
