認識老人憂鬱症－精神科臨床住院老人之分析報告

An Analyzed Report on the Psychiatric Inpatient Elderly with Geriatric Depressionn

蔣秀容(Shiow-Rong Jeang) ； 徐畢卿(Bih-Ching Shu)

《榮總護理》 19卷4期 (2002/12) Pp. 371-378

https://doi.org/10.6142/VGHN.19.4.371

摘要

本文目的是認識精神科住院老人憂鬱症之臨床實況，以南部某一醫學中心之急性精神科病房，90年1月至8月之住院患者，年齡在65歲以上且出院診斷(DSM Ⅳ)爲憂鬱症之26名患者對象，以回溯性之設計，對二位精神科住院醫師入院評估所收集在病歷之相關資料作分析統計，呈現與老人憂鬱症之相關因素、誘因、症狀等，結果發現身體疾病、生活事件是主要誘發老人憂鬱症之主因，有近半數老人處在家庭失和之狀態，缺乏有效之家庭支持系統，在症狀方面以想死念頭、失眠、身體不過之抱怨爲最多，建議加強社區之老人憂鬱之篩檢、辨識憂鬱症之徵兆及早防範與治療、加強社區之護理，如強化老人身心衛生講座、增進老人之家庭溝通與社會支持網路之運用是迫切需要。

關鍵字

老人憂鬱症

並列摘要

The purpose of this study was to understand the inpatient elderly with depressive disorders. Retrospective research was used. The subjects over 65 years of age and diagnosed as having a depression disorder based on DSM-Ⅳ, were enrolled in the acute psychiatric ward of one medical center in southern Taiwan. Data was collected from January 2001 to August 2001. The total qualified subjects numbered 26. Two psychiatrists used structured admission note record data. The descriptive analysis was applied to analyze this data. In this paper, we introduce and discuss related factors, such as predisposing factors and symptoms of geriatric depression. Physical illness and stressful life expertness were most strongly associated with depression. Nearly half of the subjects were related to domestic problem and did not have an effective family support system. The major indications of depression were ideas of suicide, sleep disturbance, and somatic discomfort. It was suggested to emphasize the screen of geriatric depression in the community in order to prevented beforehand and management after it occurs. It was urgent to strengthen the nursing care in the community through ways, such as lectures on mental health, promote family communication and provide social support system of the elderly. The results of this report may act as clinical guidelines for caring for the elderly with depression.

並列關鍵字

geriatric depression