急性住院病人老年病症候群篩檢先驅研究

Geriatric Syndrome Screening in An Acute Ward - A Pilot Study

潘玉玲(Yu-Ling Pan) ； 廖乙學(Yi-Hsueh Liao) ； 高東煒(Tung-Wei Kao) ； 張耀文(Yaw-Wen Chang)

《中華職業醫學雜誌》 25卷4期 (2018/10) Pp. 265-273

摘要

目的：老年病症候群症狀有步態不穩、跌倒、營養不良、尿失禁、瞻妄及認知功能問題等。老年病症候群的預防與介入，有賴進行以完善的評估系統與全人照護標準照護流程建置，方能有效預防與介入。本研究目的為調查住院病人的老年病症候群盛行率。方法：本研究以65歲以上之老年住院病人為對象，採立意取樣的方式選取樣本，由專科護理師進行評估。研究工具包括老年憂鬱量表（GDS）、簡易心智狀態問卷（SPMSQ）、混亂評估方法（CAM）、台灣版高齡住院病人跌倒風險評估量表（Tw-FRHOP）。利用描述性統計分析人口學特質、老年病症候群的盛行率以及頻率分布。結果：本研究總收案人數30位，平均年齡為74.8±5.5歲，男性居多（66.7%）。在本研究中最常見的老年病症候群依序為多重用藥（76.7%）、活動與平衡功能異常（60%）、跌倒風險（53.4%）以及營養問題（43.3%）。個案之老年憂鬱評估（GDS）平均分數為3.50±5.54分，心智狀態評估（SPMSQ）平均分數為8.47±1.80分，30位個案皆無瞻妄之現象。住院病人老年病症候群的數目是3-7種，以數目3者為最多（53.3%）。結論：在本研究中，老年住院病人至少有3種以上的老年病症候群。常見的老年病症候群為多重用藥、活動與平衡功能異常、跌倒風險以及營養問題。

關鍵字

老年病症候群 ； 住院老人 ； 老年周全性評估

並列摘要

Background and purpose: Geriatric syndromes include unsteady gait, falls, malnutrition, incontinence, delirium and cognitive dysfunction. Effective prevention and intervention of geriatric syndromes depends on the comprehensive assessments and high-quality nursing care. The purpose of this study was to investigate the prevalence of geriatric syndromes among elderly patients in an acute geriatric ward. Method: This was cross-sectional study. Patients aged more than 65 years and admitted to the geriatric ward were eligible. Assessment was performed by a nurse practitioner. The assessment tools included GDS-15, SPMSQ, CAM, and FRHOP-Taiwan version. We used descriptive analysis to describe the demographic features, the prevalence of geriatric syndromes and the number of geriatric syndrome that a patient had. Results: A total of 30 patients were enrolled. The mean age was 74.8±5.5 years and 66.7% were male. The common geriatric syndromes included polypharmacy (76.7%), mobility and balance disorder (60%), risk of fall (53.4%) and nutrition problem (43.3%). The mean scores of GDS-15 and SPMSQ were 3.50±5.54 and 8.47±1.80. None of enrolled patients had delirium. The number of geriatric syndrome that a patient had was 3-7. Most patients had 3 different geriatric syndromes. Conclusion: In this study, the older patients had at least 3 geriatric syndromes when admission. The common geriatric syndromes included polypharmacy, mobility and balance disorder, risk of fall and nutrition problem.

並列關鍵字

comprehensive geriatric assessment ； elder inpatient ； geriatric syndrome