Engedal K, Bergem A L, Holm M, Bragason A, Moksnes K M
Psykogeriatrisk seksjon, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Oct 20;117(25):3684-7.
The aim of this article is to describe the prevalence of mental disorders in the elderly and how the psychiatric services for these patients ought to be organized in Norway. Geriatric psychiatry is a special branch of psychiatry. Its areas of concern are the assessment and treatment of mental disorders which frequently occur in the elderly. The most prevalent psychiatric disorders are depression and dementia. Functional psychosis and anxiety disorders are less prevalent, but nevertheless disorders causing great concern. Psychiatric morbidity frequently coexists with physical illness. An elderly patient suffering from a mental disorder often has a combination of psychological, social and physical needs. The resources allocated to psychiatric services for old people are scarce. Efforts should be made to establish a special unit for geriatric psychiatry in every county in Norway. Each unit should serve approximately 150-200,000 inhabitants, and should consist of both an in-patients' and an out-patients' clinic. It is recommended that there should be 1 to 1.5 beds per 1000 elderly aged 65 years and over.
本文旨在描述挪威老年人精神障碍的患病率以及针对这些患者的精神科服务应如何组织。老年精神病学是精神病学的一个特殊分支。其关注领域是老年人中常见的精神障碍的评估和治疗。最常见的精神障碍是抑郁症和痴呆症。功能性精神病和焦虑症不太常见,但仍然是引起极大关注的疾病。精神疾病常与身体疾病并存。患有精神障碍的老年患者往往有心理、社会和身体需求的综合情况。分配给老年人精神科服务的资源稀缺。应努力在挪威的每个县设立一个老年精神病学特别科室。每个科室应为大约15万至20万居民服务,并且应包括一个住院部和一个门诊部。建议每1000名65岁及以上的老年人应有1至1.5张床位。