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홈 > 대한노인정신의학회 > 노인정신의학

만성 정신병원의 노인환자 변화추이와 수반된 내과 질환

Elderly Patient Trends in a Chronic Mental Hospital and Accompanying Medical Diseases

주새한(Sae Han Ju) , 김신겸(Shin Kyum Kim) , 변원탄(Won Tan Byun) , 정봉주(Bong Joo Jung) , 박영민(Young Min Park) , 서재원(Jae Won Seo) , 김세훈(Se Hoon Kim)

간행물명 : 노인정신의학
권/호 : 노인정신의학 제22권 제1호 / 2018 / 25~32 (8pages)
발행기관 : 대한노인정신의학회
간행물유형 : 학술저널
주제분류 : 정신과학
파일형식 : PDF
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초록

영어 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.

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