台灣老人受虐住院傷害分析

Injuries of Inpatients with Respect to Elder Abuse in Taiwan

邱鈺鸞(Yu-Luan Chiu) ； 鍾其祥(Chi-Hsiang Chung) ； 高森永(Sen-Yeong Kao) ； 楊聰財(Tsung-Tsair Yang) ； 簡戊鑑(Wu-Chien Chien)

《台灣老年醫學暨老年學雜誌》 6卷2期 (2011/05) Pp. 105-115

https://doi.org/10.29461/TGG.201105.0003

摘要

目的：探討台灣地區65歲以上老人受虐住院的傷害類型與原因，及其醫療利用情形。方法：使用1997-2008年全民健保資料庫，串連「住院醫療費用清單明細檔」與「醫事機構基本資料檔」。選取ICD-9CM中NCode為995.8x與ECode為E967.x的老人受虐個案，並以SPSS18.0統計套裝軟體進行分析。結果：1997-2008年因遭受虐待而住院的老人計342人，病患平均年齡為74.1歲，男女住院比例分別為52.3%及47.7%。平均每位受虐老人患有1.4個慢性疾病，2.2個急性傷害，傷害類型以顱內損傷比例最高(34.2%)；受虐患者多至地區醫院就醫(56.7%)，以65-74歲年齡族群住院比例最高(59.1%)；平均住院天數為8.33天，平均住院費用約4萬餘元。12年整體住院率趨勢無顯著變化。結論：每位受害者平均有2.2個傷害部位，顱內損傷為主要傷害類型。醫療專業人員應審慎評估，並提供適當處置與介入措施，落實責任通報，使受虐老人得到適切的保護。

關鍵字

老人虐待 ； 傷害 ； 全民健保資料庫

並列摘要

Objectives: To explore the abuse injury types, causes, medical services utilization and trends among elderly inpatients (aged 65 years or older) during the period from 1997 to 2008.Methods: The research analyzed ”inpatient expenditures by admissions (DD)” and ”registry for contracted medical facilities (HOSB)” from national health insurance research database in 1997-2008, using SPSS 18.0 software. We defined elder abuse cases in line with the ICD-9-CM N Code 995.8x and E967.x.Results: There were 342 inpatients identified as suffering elder abuse injuries. The average age among them read 74.1 years and the rates of men and women were 52.3% and 47.7% respectively. Each inpatient had 1.4 chronic disease and 2.2 injuries sites on average. Intracranial injury (34.2%) was the most common type of elder abuse injuries. Of these inpatients, 56.7% were hospitalized in district hospitals. Inpatients aged 65-74 years reported a higher rate of elder abuse injury than any other age groups. The mean length of stay was 8.33 days, and the medical expenditures were estimated to be around NT$40,662 per inpatient. Overall, hospitalization rate showed no significant change in the 12 years.Conclusion: There were 2.2 injury locations per victim, and intracranial injury was the most common type of elder abuse injury. Medical professionals should carefully assess each case of abused elderly for proper treatment. They are also responsible for mandatory reporting to help the authority provide elderly with better and more effective protection.

並列關鍵字

elder abuse ； elder maltreatment ； injury ； National Health Insurance Research Database