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題 名 | The Causes of Eating Problems Found in Hospitalized Psychogeriatric Patients=住院老年精神病患飲食問題之探討 |
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作 者 | 顏正芳; 侯淑英; 張明永; | 書刊名 | 慈濟醫學 |
卷 期 | 10:2 1998.06[民87.06] |
頁 次 | 頁103-109 |
分類號 | 415.9518 |
關鍵詞 | 老人; 飲食問題; 精神疾病; Psychogeriatrics; Eating problems; Anorexia; |
語 文 | 英文(English) |
中文摘要 | 飲食問題常見於老年精神病患,且因直接影響營養攝取,危及生命現象的穩定, 然而都常被忽視。本回溯性研究主要為了解出現飲食問題的住院老年精神病患,其精神疾病 診斷和飲食問題的生理心理成因與預後。研究乃蒐集某醫學中心精神科急性病房8年間年齡 大於65歲,入院之主要問題中有主觀抱怨食慾下降、拒絕進食或異常多食的住院病人為個 案進行研究。結果發現住院老年精神病患出現飲食問題者有102位,盛行率47.7%,除一例 為異常多食者外,其餘均為主觀抱怨食慾下降或拒絕進食。精神疾病診斷分別為老年癡呆症 (41.2%)、重型憂鬱症(37.3%)、精神分裂症(6.9%)、低落性情感疾患(4.9%)等。導致飲食問題 之原因隨不同之精神疾病診斷不同各異,但均包含有如腦瘤、食道狹窄等生理和心理之因素。 在影響飲食問題治療成效的因子方面,治療結果明顯改善組和未改善組比較,性別、年齡並 無明顯差異,但治療後未改善組之平均住院日數明顯比改善組短,且被診斷為老年癡呆症者 較多,而其它主要精神疾病診斷彼此間並無重大差異。本文試就上述結果進行初步討論,並 建議臨床工作者必須詳細評估與診斷任何可能影響老年精神病患飲食的生理因素。 |
英文摘要 | Eating problems are common in the psychogeriatric patients, but little attention has been paid to the causes or managemnt of these problems. This retrospective study reviewed the medical records of hospitalized elderly patients of 65 or over 65 years old with eating problems in the psychiatric ward of Kaohsiung Medical College Hospital from 1986 through 1993. Of the 214 hospitalized patients, there were 102 patients (47.7%) with eating problem, ranging from oral refusal to hyperphagia. Psychiatric diagnoses of these patients included demential (42 patients, 41.2%), major depression (38 patients, 37.3%), schizophrenia (7 patients, 6.9%) and dysthymic disorders (5 patients, 4.9%) and others (10 patients, 9.8%). The causes of the eating problem varied. However , some patients had physical illnesses. In addition, premature discharge and dementia were two main causes of continued eating problems after treatment. We suggest that accurate diagnoses and comprehensive physical examinations are important for the proper treatment of psychogeriatic patients with eating problems. |
本系統中英文摘要資訊取自各篇刊載內容。