住院老年精神疾病患者的现状调查

摘要

目的：对住院老年精神疾病患者的现状进行调查。方法：采用回顾性调查法和整群抽样法，收集四川省5所精神专科医院2013年5月至2013年10月住院的所有老年精神疾病患者的病历记录及一般人口学资料进行统计分析。结果：870例有效数据中，老年精神疾病患病率前3位依次为精神分裂症、器质性精神障碍及抑郁症；男性和女性的抑郁症、物质所致精神障碍、神经症的患病率差异有统计学意义（χ2=41.142，P <0.05）；农村与城市在精神分裂症、器质性精神病、躁狂症、神经症及双相障碍的患病率分布差异有统计学意义（χ2=78.435，P <0.05）。Logistic 回归分析显示，年龄（OR =1.037， P =0.001）和治疗方式（OR =0.252，P =0.000）对疗效影响显著。结论：住院老年精神疾病患者以农村、女性老人为多；综合治疗效果优于单纯药物治疗。%Objective:To explore the current status of hospitalized elderly people with mental illness. Method:Retrospective investigation method and cluster sampling method were used to analyze the patient′s med-ical records and general demographic information of hospitalized elderly people with mental illness. Data were collected in five psychiatric hospitals in Sichuan province from May to October in 2013. Results:A total of 870 valid cases were collected. Schizophrenia,organic mental disorders and depression were the top three of mental illness in Sichuan. The prevalence of males and females had significant differences on depression,sub-stance induced mental disorder and neurosis(χ2 = 41. 142,P < 0. 05). Our research also indicated that the prev-alence of city and rural area had significant differences on schizophrenia,organic mental disorders,mania,neuro-sis and bipolar disorder(χ2 =78. 435,P <0. 05). Logistic regression analysis suggested that age(OR =1. 037,P =0. 001)and therapy patterns(OR = 0. 252,P = 0. 000)had significant effects on mental illness. Conclusion:The present study demonstrate that more hospitalized elderly people with mental illness are female and from ru-ral areas. and comprehensive therapy is more effective than medication for prognosis.