某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

Disease Composition and Clinical Characteristics of Geriatric Mental Disorder Inpatients in a Psychiatric Hospital

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(1)
作者
作者单位

阜阳市第三人民医院 ;

摘要
目的:分析2019年至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日至2021年12月31日阜阳市第三人民医院住院患者中年龄≥60岁的精神障碍患者的病历资料,收集研究对象的性别、年龄、出院日期、住院天数、主要诊断及疾病编码等人口学及临床资料。结果:(1)总体7 086例老年精神病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,封闭病房的患者男性占比较高、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。封闭病房男性较多、年龄较小、住院时间较长。
Abstract
Objective: to analyze the disease composition and clinical characteristics of geriatric psychiatric disorder inpatients in the Third Peoples 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 Peoples 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 7,086 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 elderly patients with mental disorders was higher, with anxiety disorders and depression disorders accounting for a larger proportion. Closed wards have more males, younger ages, and longer hospitalization times.
关键词
老年;住院患者;精神障碍;疾病构成;特征分析
KeyWord
elderly; hospitalized patients; mental disorders; disease composition; characterization
基金项目
页码 123-126
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刘志伟*,孙亮,张静静,杨荣春,刘云. 某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 [J]. 国际精神病学杂志. 2024; 51; (1). 123 - 126.

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