Psychiatric disturbances of aged patients in skilled nursing homes.

Psychiatric disturbances of aged patients in skilled nursing homes.
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熟练疗养院老年患者的精神障碍。

DOI:
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发表时间:
1976
期刊:
影响因子:
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通讯作者:
Heiland Wf
Heiland Wf
中科院分区:
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文献类型:
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作者:
Teeter Rb;Garetz Fk;Miller Wr;Heiland Wf

文献摘要

被引文献

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:作者发现,在两个熟练护理机构接受医疗补助资助的 74 名患者中,除了严重的多种疾病外,85% 的患者还患有严重的精神疾病。近三分之二的精神障碍尚未得到诊断。尽管在一半以上的病例中,工作人员更关心患者问题的社会心理而不是身体方面,但他们常常难以识别心理投诉的合法性以及与心理障碍患者的关系。工作人员不清楚为一半以上的患者开出的精神药物的处方。作者指出,需要更多的精神病咨询,以确保此类机构中的精神病患者得到适当和有效的护理。
: The authors found that 85% of 74 patients supported by Medicaid in two skilled nursing facilities had significant psychiatric disorders in addition to serious multiple medical illnesses. Almost two-thirds of the psychiatric disturbances had not been diagnosed. Although staff were more concerned with the psychosocial than the physical aspects of patients' problems in more than half of the cases, they often had difficulty recognizing the legitimacy of psychological complaints and relating to patients with psychological disturbances. Staff were not clear about the orders for psychotropic medications that were prescribed for more than half of the patients. The authors point out that more psychiatric consultation is needed to ensure appropriate and effective care for psychiatric patients in such facilities.