Tariot P N, Podgorski C A, Blazina L, Leibovici A
Department of Psychiatry, University of Rochester School of Medicine and Dentistry, N.Y.
Am J Psychiatry. 1993 Jul;150(7):1063-9. doi: 10.1176/ajp.150.7.1063.
Many studies of the prevalence of mental disorders among residents of long-term care facilities have had substantial methodological shortcomings. This study was conducted to replicate a previous well-designed study and to examine additional characteristics of nursing home residents.
Randomly selected residents (N = 80) in a public long-term care facility were evaluated by a psychiatric team using DSM-III-R criteria and quantitative assessments of behavior and cognitive status.
Of the 80 subjects, 91% had at least one psychiatric diagnosis and at least one behavioral problem; 50% had four or more behavioral problems. In addition, 29% had received psychiatric care before admission, and 61% received psychiatric care after admission.
These findings replicate those of the few prior studies that used analogous research techniques, but those previous studies were conducted in private, intermediate-care institutions whose residents had different demographic characteristics. The mental health needs of these residents are substantial and should be addressed by the medical community and the nursing home industry.
许多关于长期护理机构居民精神障碍患病率的研究存在重大方法学缺陷。本研究旨在重复先前一项设计良好的研究，并考察疗养院居民的其他特征。
一个精神科团队使用《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准以及行为和认知状态的定量评估，对一家公立长期护理机构中随机抽取的80名居民进行了评估。
在这80名受试者中，91%至少有一项精神科诊断和至少一项行为问题；50%有四项或更多行为问题。此外，29%在入院前接受过精神科护理，61%在入院后接受过精神科护理。
这些发现重复了少数使用类似研究技术的先前研究的结果，但那些先前研究是在私立中级护理机构中进行的，其居民具有不同的人口统计学特征。这些居民的心理健康需求很大，医疗界和疗养院行业应予以关注。
