住院老年精神病患者伴有躯体共病的调查分析及护理对策

Study and Strategy for Nursing of Senile Psychosis Inpatients with Somatic Diseases

目的探讨住院老年精神病患者伴发躯体疾病的分布、种类、特点及相应的护理对策。方法采用自制的调查表对2007年9月～2009年9月在我所住院的403例60岁以上的精神疾病患者合并躯体疾病情况进行回顾性调查分析。结果 403例住院精神疾病患者中合并躯体共病376人(93%);其中合并高血压237例(58%);合并冠心病135例(33%);合并脑梗塞135例(33%)。结论住院老年精神病患者合并躯体疾病占绝大多数,以心脑血管病居多,应予以高度重视,护理人员在做好精神病护理的同时,应加强对躯体疾病的监测,做好整体化护理工作。

Objective To investigate the comorbid conditions of senile psychosis inpatients with somatic diseases, and to explore the types and features of comorbidity in order to make a strategy for nursing care. Methods A total of 403 above 60-year senile psychosis inpatients were investigated by self-made inventory to make a retrospective study. Results In all subject,276（93%） senile psychosis inpatiepts were combined with somatic diseases, in which included 237（58% ） inpatients with high blood pressure, 135（33%） inpatients with coronary heart disease, and 135（33%） inpatients with cerebral infarction. Conclusion Most of senile psychosis inpatients are combined with somatic diseases, in which cardiovascular and cerebrovascular diseases are more common. The psychiatrists should pay more attention to this comorbidity. Moreover, nurses should take a good psychiatric care for senile psychosis inpatients. At the same time they must enhance detection for somatic diseases and guard against body diseases.