만성 정신병원의 노인환자 변화추이와 수반된 내과 질환
Elderly Patient Trends in a Chronic Mental Hospital and Accompanying Medical Diseases
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective：It investigated the tendency of the increase of elderly patients in a psychiatric hospital. In this regard, it examined whether the number of patients with outpatient consultant, discharge, medical diseases, and neurocognitive disorder increased or not. Methods：It retrospectively reviewed inpatient medical records for the years 2008, 2011, 2014, 2017. To investigate the changes of elderly patients admitted to psychiatry, it examined the changes of patients who are older than 50 or 60 years in addition to the people who are older than 65 years. It analyzed diagnosis, discharge, medical diseases, and outpatient consultant of the three groups respectively. Results：It confirmed that the number of elderly patients who are older than 50, 60, and 65 years has increased in mental hospital for 10 years. There was a significant increase in the number of neurocognitive disorder patients, the ratio of consultant outpatient, and the mean number of outpatient consultant. Diabetes increased in all three groups. Especially it has significantly increased for patients who are older than 50 and 60 years. In the case of patients discharged due to transfer, the number of patients increased in all three groups but it was statistically significant for the patients who are older than 50 years. Conclusion：The study shows that the number of elderly patients increased with the trend of aging society. In relation to this, the rate of outpatient consultant and discharge, including diabetic and dementia patients, also increased. Therefore, if the mental health department provides a system to manage the elderly ward or nursing ward to respond to the increase of elderly patients, or to manage the accompanying chronic diseases such as diabetes and its complications, it could solve the inconvenience of patients due to the consultation outside a hospital or discharge.
Abstract
Objective：It investigated the tendency of the increase of elderly patients in a psychiatric hospital. In this regard, it examined whether the number of patients with outpatient consultant, discharge, medical diseases, and neurocognitive disorder increased or not. Methods：It retrospectively reviewed inpatient medical records for the years 2008, 2011, 2014, 2017. To investigate the changes of elderly patients admitted to psychiatry, it examined the changes of patients who are older than 50 or 60 years in addition to the people who are older than 65 years. It analyzed diagnosis, discharge, medical diseases, and outpatient consultant of the three groups respectively. Results：It confirmed that the number of elderly patients who are older than 50, 60, and 65 years has increased in mental hospital for 10 years. There was a significant increase in the number of neurocognitive disorder patients, the ratio of consultant outpatient, and the mean number of outpatient consultant. Diabetes increased in all three groups. Especially it has significantly increased for patients who are older than 50 and 60 years. In the case of patients discharged due to transfer, the number of patients increased in all three groups but it was statistically significant for the patients who are older than 50 years. Conclusion：The study shows that the number of elderly patients increased with the trend of aging society. In relation to this, the rate of outpatient consultant and discharge, including diabetic and dementia patients, also increased. Therefore, if the mental health department provides a system to manage the elderly ward or nursing ward to respond to the increase of elderly patients, or to manage the accompanying chronic diseases such as diabetes and its complications, it could solve the inconvenience of patients due to the consultation outside a hospital or discharge.
참고문헌 (25)
- "Resident registration demographics"[URL]
- 최재헌, "한국 인구고령화의 지역적 전개 양상", 대한지리학회지, 47(3), pp.359~374 (2012), 대한지리학회[DOI]
- 류정건, "고령화 사회의 요양병원 선택요인에 관한 연구", 마케팅관리연구, 11(2), pp.101~130 (2006), 한국마케팅관리학회
- "A Study on the Reinforcing Medical service linkage between Nursing home facilities and Health care institutes"[URL]
- "Medical statistics information"[URL]
- "J Korean Geriatr Soc", 1983, 52~59
- "J Korean Geriatr Psychiatry", 1998, 103~119
- "J Korean Geriatr Psychiatry", 2000, 80~90
- Han SH, "Role of geriatric physicians in an aging society", Korean J Clin Geriatr, 8, pp.118~124 (2007)
- Jorm AF, "Is depression a risk factor for dementia or cognitive decline? a review", Gerontology, 46, pp.219~227 (2000)[DOI]
- Kang IO, "Economic cost of dementia patients according to the limitation of the activities of daily living in Korea", Int J Geriatr Psychiatry, 22, pp.675~681 (2007)[DOI]
- Alzheimer's Association, "2012 Alzheimer's disease facts and figures", Alzheimers Dement, 8, pp.131~168 (2012)[DOI]
- Hofman, A, "The prevalence of dementia in Europe: a collaborative study of 1980-1990 findings. Eurodem Prevalence Research Group", Int J Epidemiol, 20, pp.736~748 (1991)[DOI]
- Jeong SM, "Associations between trends in aging, physical activity, central obesity and body mass index with diabetes prevalence in Korea: a series of cross-sectional studies from the 1st to 5th Korean National Health and Nutrition Examination Survey (1998-2012)", Korean J Fam Pract, 7, pp.195~201 (2017)[DOI]
- 하경화, "Trends in the Diabetes Epidemic in Korea", Endocrinology and Metabolism, 30(2), pp.142~146 (2015), 대한내분비학회
- 노재우, "정신분열병 입원 환자에서의 대사 증후군 유병률 연구", 생물정신의학, 18(1), pp.46~54 (2011), 대한생물정신의학회
- 이중선, "정신분열병 환자에서 항정신병 약물과 공복혈당 및 총 콜레스테롤 이상", 대한정신약물학회지, 16(1), pp.33~41 (2005), 대한정신약물학회
- 이명훈, "비정형 항정신병 약물로 치료 받는 정신분열병 환자에서 혈당, 지질수치, 몸무게의 변화", 대한정신약물학회지, 16(5), pp.374~382 (2005), 대한정신약물학회
- Yoo HJ, "State of lectures on the geriatrics in Korean medical colleges", Korean J Med, 79(Suppl 2), pp.513~ (2010)
- Cho CY, "The current status of Korean geriatric education and clinic and suggestions for its advancement", Korean J Clin Geri, 18, pp.64~73 (2017)[DOI]
- "J Korean Neuropsychiatr Assoc", 2002, 750~757
- Teitelbaum ML, "Toward better integration of medical and psychiatric care", JAMA, 248, pp.977~ (1982)[DOI]
- Lim SW, "Insomnia in medical illnesses: the secondary insomnia", Sleep Med Psychophysiol, 12, pp.11~16 (2005)
- 이홍석, "당뇨병, 우울증, 그리고 환자-의사관계", Diabetes and Metabolism Journal, 33(3), pp.178~182 (2009), 대한당뇨병학회
- Lee WB, "A prevalence of anxiety and depression for an elderly diabetic patients and the relationship of quality of life", Korean J Fam Pract, 3, pp.323~330 (2013)