Survey on the need of continuum of care in community elderly mental disorder patients and social interventions strategy
10.3760/j.issn.1674-2907.2014.19.014
- VernacularTitle:老年精神障碍人群社区延续照护需求调查及社会干预对策
- Author:
Jianhua ZHANG
1
;
Yuqin DING
;
Yuxia MING
;
Sixue YANG
Author Information
1. 222002 江苏省连云港市第四人民医院 连云港市精神病防治院院部
- Keywords:
Elderly;
Mental disorders;
Community nursing;
Demand;
Social intervention
- From:
Chinese Journal of Modern Nursing
2014;20(19):2345-2348
- CountryChina
- Language:Chinese
-
Abstract:
Objective By tracking survey of the mental disorder patients discharged from hospital , in order to propose continuum of care and social interventions strategy .Methods Using household survey method , totals of 525 elderly mental disorder patients from 2010 to 2012 were selected and surveyed using the Geriatric Depression Scale (GDS) and the Activities of Daily Living (ADL).Results Totals of 525 cases of senile mental disorders in community were surveyed with GDS .Totals of 86 patients scored 1 to 10 points, regarded as without depression, accounting for 40%.Totals of 79 patients scored 11 to 20 points, regarded as mild depression , accounting for 36.74%.Totals of 50 patients scored 21 to 30 points, regarded as severe depression , accounting for 23.25%.Totals of 422 patients (80.38%) had ADL score under 35 points, with different degree of lack of personal living capacity .Totals of 103 patients (19.62%) had ADL score between 40 to 100 points, with part or complete personal living capacity .Totals of 525 patients mainly depended on home care , within which 68.95%were taken care of by their family members and 11.43%were cared for by servants or hourly employee .Others (19.62%) were at nursing institution or hospitals taken care of by professional nurses .There was a big gap between the demand and supply of medical care service in community elderly long term care .Conclusions The problem of long-term care and social support of senile mental disorder patients is urgent , and based on the actual situation, we need to propose the corresponding social intervention strategies .
