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題 名 | 機構化老年精神分裂症患者之精神症狀與認知功能=Symptoms and Cognitive Function in Institutionalized Aged Schizophrenic Patients |
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作 者 | 劉偉民; 張堯舜; 林正岳; 周明彥; | 書刊名 | 臺灣精神醫學 |
卷 期 | 11:1 1997.03[民86.03] |
頁 次 | 頁61-69 |
分類號 | 415.983 |
關鍵詞 | 老年精神分裂症; 長期住院; 活性及負性症狀; 認知功能; Aged schizophrenic patient; Chronic institutionalization; Positive and negative symptoms; Cognitive function; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討長期住院老年精神分裂病人精神症狀及認知功能缺損等精神病理的臨床特徵。方法:本研究以85年3月至5月間住院病患為樣本。作者針對年齡大於六十五歲, 住院十年以上的精神分裂病患共94人(其中男性61人,女性33人,平均年齡69.4歲,平均住院25.6年) 分別以中文版活性及負性症狀量表及簡短精神量表,評量其精神症狀特性及認知功能的缺損,並分析人口學特徵,抗精神病藥物的使用及住院間的長短等相關因素。結果:老年精神分裂病患其活性症狀漸減但仍持續存在著,而負性症狀則明顯嚴重;在負性症狀及認知功能上有性別差異,而以女性較差;抗精神病藥物平均使用劑量為相當 Chlopromazine 236mg/day,而正性症狀明顯者,抗精神病使用劑量高;長期住院者認知功能缺損及負性症狀皆較嚴重。老年精神病患有嚴重的認知功能障礙,較一般老人罹患癡呆的比率高出很多;認知功能缺損大者,負性症狀亦較嚴重,反之亦然。腦電圖異常的比率在 22.4% 且皆屬輕度瀰漫性腦皮質功能異常者,而有腦電圖異常者認知功能也較差。 結論:老年病患以負性症狀及認知功能缺損最明顯,又住院期間較長者亦較嚴重。進一步研究可以較輕年齡層病患為對照比較,在醫療照顧上應儘量減少機構化的負面影響,並依功能分類給予適當的治療。 |
英文摘要 | Objective: To present the symptoms and levels of cognitive function of chronically institutionalized geriatric schizophrenic patients. Method: This study was conducted at the Yu-Li Mental Hospital and took samples from March to May 1996. The final study group comprised 94 geriatric schizophrenic patients with at least ten years' hospitalization. The Positive and Negative Syndrome Scale and the Mini-Mental State Examination were used to assess schizophrenic symptoms and cognitive performance. Results: The results of this investigation indicated that older patients had more severe negative symptoms but less severe positive symptoms. Female patients had more severe negative symptoms and cognitive impairment than did male patients. An average total neuroleptic dose of 226 mg/day of a drug equivalent to chlopromazine was adminsitered to the patients, and higher dosages were used for those patients with prominent positive symptoms. A significant correlation between cognitive impairment, or a severe negative syndrome, and chronic institutionalization was found. A higher rate of severe cognitive impairment among elderly schizophrenic patients was found in this study. There was significant correlation between severe negative symptoms and poor cognitive performance. The percentage of EEG abnormalities in the geriatric patients in this study included 22.4% with mild diffuse cortical dysfunction. Abnormal EEGs indicative of serious cognitive impairment were also found in this study. Conclusion: Prominent negative symptoms and cognitive impairment were found in elder patients, and correlated with long-term hospitalization. Futher study could compare our results with patients of different age levels. It is important to minimize the adverse effects of institutionalization on long-term care patients. |
本系統中英文摘要資訊取自各篇刊載內容。