痴呆症和并发性精神和行为障碍患者长期住院-数据链接研究
Clare Stuart1, Kate Jackson1, Henry Brodaty2
1Mental Health Branch, NSW Ministry of Health, Sydney, Australia.
概括
导致长时间住院的痴呆症 (BPSD) 的行为和心理症状比其他原因少. 这些症状在患有精神疾病并发症的年轻男性中更为普遍.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 痴呆症患者住院治疗通常涉及复杂的护理需求.
- 痴呆症的行为和心理症状 (BPSD) 可以显著影响患者护理和医院资源利用.
- 了解与BPSD相关的住院病人的患病率和特征对于有针对性的干预至关重要.
研究的目的:
- 确定导致长时间住院的极端BPSD的患病率.
- 为了比较BPSD相关的长期住院患者 (BRLS) 与非BPSD相关的长期住院患者 (NBRLS) 的特征.
主要方法:
- 澳大利亚新南威尔士州 (2015-2019) 住院数据的回顾性分析.
- 纳入标准:年龄在50岁及以上,患有痴呆症的患者,住院时间长达42天或更长.
- 使用统计测试 (威尔奇的t测试,费舍尔的精确测试) 进行BRLS和NBRLS队列的比较.
主要成果:
- 在115名患者中发现了120名BRLS,而在6186名患者中发现了7523名NBRLS.
- 患有BRLS的患者更年轻 (平均差异5.96年),更有可能是男性.
- BRLS主要发生在非精神病医院 (92.4%),并与较高的精神健康并发症率 (56.5%与32.7%) 相关.
结论:
- 与BPSD相关的长时间住院的频率低于没有这些症状的人.
- 年轻的痴呆症和同时存在的精神健康状况的男性更有可能经历BRLS.
- 研究结果强调,需要在一般医院环境中为患有BPSD的痴呆症患者提供专业护理途径.
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