退伍军人社区生活中心的老年退伍军人患有创伤后应激障碍:患病率和风险相关
Kelly O'Malley1, Jennifer Moye2, Jianwei Leng3
1VA Boston Healthcare System, Boston, MA (KO, JM); Department of Psychiatry, Harvard Medical School, Boston, MA (KO, JM).
概括
创伤后应激障碍 (PTSD) 影响了近20%的老年退伍军人在VA技术护理设施. 年龄较小,女性性别,少数民族种族和更高的临床复杂性是PTSD的主要危险因素.
科学领域:
- 老年医学 老年医学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 创伤后应激障碍 (PTSD) 是退伍军人的重要心理健康问题.
- 在熟练护理设施 (SNFs) 中的老年人代表具有独特医疗需求的弱势群体.
- 了解PTSD在这种特定环境中的患病率和风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定退伍军人接受VA技术护理设施的退伍军人中PTSD的患病率.
- 在这个人群中确定与PTSD诊断相关的人口和临床相关性.
- 为VA SNFs内部创伤信息化护理策略的制定提供信息.
主要方法:
- 来自VA企业数据仓库的电子健康记录的回顾性队列分析.
- 包括57,414名60岁以上的退伍军人,他们在2018-2022年期间被录取到VA SNF.
- 在入院期间或入院后六个月内对PTSD诊断进行检查,并分析风险因素,包括年龄,性别,种族,农村地区,临床复杂性和设施特征.
主要成果:
- 在研究的退伍军人中,PTSD的患病率为19.1%.
- 与PTSD相关的危险因素包括年轻年龄 (60-79岁),女性性别,少数民族种族和更高的临床复杂性.
- 新诊断PTSD的退伍军人更有可能是老年人,来自农村地区,并被录取到较大的设施,与那些先前有PTSD诊断的人相比.
结论:
- 创伤后应激障碍是VA熟练护理设施中年长退伍军人的普遍和重大问题.
- 确定特定的风险因素可以进行主动查和量身定制的护理.
- 实施创伤信息化护理对于解决这些环境中面临风险的退伍军人的需求至关重要.
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