首页|阜阳市精神专科医院老年精神障碍住院患者疾病构成及临床特征

阜阳市精神专科医院老年精神障碍住院患者疾病构成及临床特征

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目的 分析2019年~2021年阜阳市第三人民医院老年精神障碍住院患者疾病构成及临床特征.方法 采用回顾性调查方法,查阅2019年1月1日~2021年12月31日阜阳市第三人民医院住院患者中年龄≥60岁精神障碍患者的病历资料,收集研究对象性别、年龄、出院日期、住院天数、主要诊断、疾病编码等人口学及临床资料.结果 (1)总体7 086例老年精神障碍住院患者最常见五类疾病诊断为:焦虑障碍30.0%、抑郁障碍16.7%、器质性精神障碍15.4%、精神分裂症及其他原发性精神病性障碍14.4%及双相障碍6.8%.(2)与开放病房相比,封闭病房患者男性占比较高、年龄较小、住院时间较长,差异有统计学意义(P<0.05).结论 老年精神障碍患者总体住院率较高,以焦虑障碍、抑郁障碍等占比较大.应进一步关注老年人群精神健康状况,优化当地老年精神医学学科建设,为老年人群提供更佳的医疗卫生资源.
Disease Composition and Clinical Characteristics of Geriatric Mental Disorder Inpatients in a Psychiatric Hospital of Fuyang
Objective To analyze the disease composition and clinical characteristics of geriatric psychiat-ric disorder inpatients in the Third People's Hospital of Fuyang from 2019 to 2021.Methods A retrospective survey method was used to review the medical records of patients with mental disorders aged ≥ 60 years who were hospitalized in the Third People's Hospital of Fuyang from January 1,2019 to December 31,2021,and to collect demographic and clinical data such as gender,age,date of discharge,number of days of hospitalization,main diagnosis and disease code of the study subjects.Results(1)Overall 7086 geriatric psychiatric inpatients were diagnosed with the five most common categories of disorders:anxiety disorders 30.0%,depressive disorders 16.7%,organic psychiatric disorders 15.4%,schizophrenia and other primary psychotic disorders 14.4%and bipolar disorder 6.8%.(2)Compared with open wards,patients in closed wards had a higher proportion of males,were younger and had a longer hospitalization period,and the difference was statistically significant(P<0.05).Conclusion The overall hospitalization rate of el-derly patients with mental disorders was higher,with anxiety disorders and depression disorders accounting for a larger proportion.We should pay more attention to the mental health of the elderly population,optimize the discipline con-struction of local geriatric psychiatry,and provide better medical and health resources for the elderly population.

ElderlyHospitalized patientsMental disordersDisease compositionCharacterization

刘志伟、孙亮、张静静、杨荣春、刘云

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安徽省阜阳市第三人民医院精神科(阜阳,236015)

老年 住院患者 精神障碍 疾病构成 特征分析

安徽省医疗卫生重点专科建设项目安徽省卫生健康委科研项目阜阳市卫生健康委科研项目

皖卫函[2021]273号AHWJ2021a035FY2021-059

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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