Abstract
目的:老年病症候群症狀有步態不穩、跌倒、營養不良、尿失禁、瞻妄及認知功能問題等。老年病症候群的預防與介入,有賴進行以完善的評估系統與全人照護標準照護流程建置,方能有效預防與介入。本研究目的為調查住院病人的老年病症候群盛行率。方法:本研究以65歲以上之老年住院病人為對象,採立意取樣的方式選取樣本,由專科護理師進行評估。研究工具包括老年憂鬱量表(GDS)、簡易心智狀態問卷(SPMSQ)、混亂評估方法(CAM)、台灣版高齡住院病人跌倒風險評估量表(Tw-FRHOP)。利用描述性統計分析人口學特質、老年病症候群的盛行率以及頻率分布。結果:本研究總收案人數30位,平均年齡為74.8±5.5歲,男性居多(66.7%)。在本研究中最常見的老年病症候群依序為多重用藥(76.7%)、活動與平衡功能異常(60%)、跌倒風險(53.4%)以及營養問題(43.3%)。個案之老年憂鬱評估(GDS)平均分數為3.50±5.54分,心智狀態評估(SPMSQ)平均分數為8.47±1.80分,30位個案皆無瞻妄之現象。住院病人老年病症候群的數目是3-7種,以數目3者為最多(53.3%)。結論:在本研究中,老年住院病人至少有3種以上的老年病症候群。常見的老年病症候群為多重用藥、活動與平衡功能異常、跌倒風險以及營養問題。Background and purpose: Geriatric syndromes include unsteady gait, falls, malnutrition, incontinence, delirium and cognitive dysfunction. Effective prevention and intervention of geriatric syndromes depends on the comprehensive assessments and high-quality nursing care. The purpose of this study was to investigate the prevalence of geriatric syndromes among elderly patients in an acute geriatric ward. Method: This was cross-sectional study. Patients aged more than 65 years and admitted to the geriatric ward were eligible. Assessment was performed by a nurse practitioner. The assessment tools included GDS-15, SPMSQ, CAM, and FRHOP-Taiwan version. We used descriptive analysis to describe the demographic features, the prevalence of geriatric syndromes and the number of geriatric syndrome that a patient had. Results: A total of 30 patients were enrolled. The mean age was 74.8±5.5 years and 66.7% were male. The common geriatric syndromes included polypharmacy (76.7%), mobility and balance disorder (60%), risk of fall (53.4%) and nutrition problem (43.3%). The mean scores of GDS-15 and SPMSQ were 3.50±5.54 and 8.47±1.80. None of enrolled patients had delirium. The number of geriatric syndrome that a patient had was 3-7. Most patients had 3 different geriatric syndromes. Conclusion: In this study, the older patients had at least 3 geriatric syndromes when admission. The common geriatric syndromes included polypharmacy, mobility and balance disorder, risk of fall and nutrition problem.
Original language | Undefined/Unknown |
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Pages (from-to) | 265-273 |
Number of pages | 9 |
Journal | 中華職業醫學雜誌 |
Volume | 25 |
Issue number | 4 |
Publication status | Published - Oct 1 2018 |
Externally published | Yes |
Keywords
- 老年病症候群
- 住院老人
- 老年周全性評估
- comprehensive geriatric assessment
- elder inpatient
- geriatric syndrome