在教学医院普通病房的老年住院患者中 Delirium 的决定因素:一个病例对照研究
Jitha Geetha1, Haritha Babu1, Christina George1
1Department of Psychiatry, DR SMCSI Medical College, Karakonam, Trivandrum, Kerala, India.
Industrial psychiatry journal
|June 10, 2024
概括
在老年住院患者中确定了 Delirium 风险因素,膀导管,电解质异常和缺氧是关键的独立预测因素. 可修改的急性因素,而不是长期的急性因素,对于干预至关重要.
科学领域:
- 老年医学 老年医学
- 内部医学 内部医学
- 关键护理医学 关键护理医学
背景情况:
- 有限的研究存在于低资源,非重症监护环境中的老年住院患者的妄想风险因素.
- 痴呆症在老年患者护理中构成了重大挑战,需要确定其特定的风险因素.
研究的目的:
- 调查和确定与老年住院病人入院非重症监护病房 Delirium 相关的主要危险因素.
- 为了确定在这个易受伤害的人群中导致妄想的诱导和诱导因素.
主要方法:
- 一项病例对照研究,涉及62名患有妄症的老年患者 (病例) 和62名没有 (对照).
- 数据收集包括社会人口统计学变量,倾向性/倾向性风险因素,以及使用半结构化proforma和Vellore痴呆查仪器进行痴呆查.
主要成果:
- 统一分析揭示了与妄想相关的众多因素,包括认知障碍,痴呆,感染,缺氧和特定药物.
- 多变量逻辑回归确定了膀导管 (OR=13.85),异常电解质 (OR=5.12),以及缺氧 (OR=75.52) 作为妄的独立危险因素.
结论:
- 急性,可修改的因素是老年人比长期疾病更显著的 Delirium 的风险因素.
- 了解这些可修改的风险因素可以指导开发有针对性的干预措施,以减轻老年住院患者的妄想.
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