Sandberg O, Gustafson Y, Brännström B, Bucht G
Department of Geriatric Medicine, Umeå University, Sweden.
Scand J Soc Med. 1998 Mar;26(1):56-62. doi: 10.1177/14034948980260011201.
A prevalence study of psychiatric symptoms was performed in parts of a hospital catchment area in Mid-Sweden. In total 717 patients, aged 75 years and above, who were receiving care in an emergency hospital, three nursing homes, five old people's homes and two home medical care districts were included. All patients were examined using the OBS-scale (Organic Brain Syndrome Scale). Anxiety (51%), psychomotor slowing (45%), delirium (44%), depressed mood (41%), irritability (40%) and dementia (33%) were the most prevalent psychiatric symptoms or diagnoses in the sample but there were wide differences between the four care settings. The present study shows that the prevalence of dementia, delirium and psychiatric symptoms is high in all types of care settings for the elderly. It also demonstrates the need for psychiatric medical and nursing competence in all types of care for the elderly.
在瑞典中部某医院服务区的部分地区进行了一项精神症状患病率研究。总共纳入了717名75岁及以上的患者，这些患者分别在一家急诊医院、三家养老院、五家老年之家以及两个家庭医疗保健区接受护理。所有患者均使用OBS量表（器质性脑综合征量表）进行检查。焦虑（51%）、精神运动迟缓（45%）、谵妄（44%）、情绪低落（41%）、易怒（40%）和痴呆（33%）是样本中最常见的精神症状或诊断，但四种护理环境之间存在很大差异。本研究表明，在所有类型的老年护理机构中，痴呆、谵妄和精神症状的患病率都很高。它还表明在所有类型的老年护理中都需要精神科医疗和护理能力。
