지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.12
- 수록면
- 130 - 140 (11page)
이용수
초록· 키워드
오류제보하기
Objectives : The numbers of geriatric patients visiting emergency department have been increasing with the increase of geriatric population, especially among those with psychiatric problems. The aims of this study are to know the frequency and trend of visiting emergency department among elderly psychiatric patients, to analyse their demographic and clinical characteristics, and to identify related factors.
Methods : Among elderly psychiatric patients with age over 60(N=276) who had visited Emergency Medical Center, Kosin University Gospel Hospital from 2000 thru 2009, medical records or electronic medical records of 187 cases were analysed by three psychiatrist who were blind to those patients.
Results : 1) The numbers of elderly psychiatric patients were gradually increasing for 10 years versus total numbers of patients(0.18% in 2000, 0.25% in 2009) and versus total numbers of geriatric patients(0.81% in 2000, 0.87% in 2009). However, The increase of elderly psychiatric patients versus total numbers of psychiatric patients became so rapid as 2.5-3 times in 2006(7.58% in 2000, 27.54% in 2009). 2) Most frequent demographic and clinical characteristics of the elderly psychiatric patients visiting emergency department for 10 years were sixties(66.9%), urban dwellers(92.5%), visting during weekdays(67.9%) and stay for 6-24 hours(43.3%)(p<0.05, respectively). The managements were resulted in discharge against medical advice(30.5%), admission to other department(26.7%), discharge after management(19.8%), admission to psychiatric ward(16.6%), transfer to other hospital(3.7%) and being expired(2.7%). 3) The most frequent reasons for visiting emergency department of elderly psychiatric patients were suicidal attempt(13.4%), pain(10.7%), consciousness change(10.7%), continuos alcohol drinking(10.2%) in order. The most frequent psychiatric diagnoses were alcohol dependence(20.9%), depression(19.3%), adjustment disorder(11.2%), delirium(10.7%), anxiety disorder(9.6%) and dementia(8.6%). The most frequent comorbities were cardiovascular diseases(27.3%), hepatic and gastrointestinal diseases(13.9%), neurological diseases(12.3%), endocrinological diseases(10.7%), respiratory diseases(8.6%), renal and urinary diseases(7.5%) and cancer(7.0%) in order. 4) There was significant correlation between psychiatric diagnosis and gender of elderly psychiatric patients visiting emergency department. The causes were significantly correlated with route, arrival time and stay hours. The route of visiting emergency department was significantly correlated with arrival time and stay hours. There was significant correlation between stay hours and management in the emergency department.
Conclusion : Elderly psychiatric patients required much time and resources in the emergency department. To solve the rapidly growing problems related to the emergency care for the elderly psychiatric patients, analysing data of visiting emergency department at first and then active preparation of medical personnel shoud be preceded.
Methods : Among elderly psychiatric patients with age over 60(N=276) who had visited Emergency Medical Center, Kosin University Gospel Hospital from 2000 thru 2009, medical records or electronic medical records of 187 cases were analysed by three psychiatrist who were blind to those patients.
Results : 1) The numbers of elderly psychiatric patients were gradually increasing for 10 years versus total numbers of patients(0.18% in 2000, 0.25% in 2009) and versus total numbers of geriatric patients(0.81% in 2000, 0.87% in 2009). However, The increase of elderly psychiatric patients versus total numbers of psychiatric patients became so rapid as 2.5-3 times in 2006(7.58% in 2000, 27.54% in 2009). 2) Most frequent demographic and clinical characteristics of the elderly psychiatric patients visiting emergency department for 10 years were sixties(66.9%), urban dwellers(92.5%), visting during weekdays(67.9%) and stay for 6-24 hours(43.3%)(p<0.05, respectively). The managements were resulted in discharge against medical advice(30.5%), admission to other department(26.7%), discharge after management(19.8%), admission to psychiatric ward(16.6%), transfer to other hospital(3.7%) and being expired(2.7%). 3) The most frequent reasons for visiting emergency department of elderly psychiatric patients were suicidal attempt(13.4%), pain(10.7%), consciousness change(10.7%), continuos alcohol drinking(10.2%) in order. The most frequent psychiatric diagnoses were alcohol dependence(20.9%), depression(19.3%), adjustment disorder(11.2%), delirium(10.7%), anxiety disorder(9.6%) and dementia(8.6%). The most frequent comorbities were cardiovascular diseases(27.3%), hepatic and gastrointestinal diseases(13.9%), neurological diseases(12.3%), endocrinological diseases(10.7%), respiratory diseases(8.6%), renal and urinary diseases(7.5%) and cancer(7.0%) in order. 4) There was significant correlation between psychiatric diagnosis and gender of elderly psychiatric patients visiting emergency department. The causes were significantly correlated with route, arrival time and stay hours. The route of visiting emergency department was significantly correlated with arrival time and stay hours. There was significant correlation between stay hours and management in the emergency department.
Conclusion : Elderly psychiatric patients required much time and resources in the emergency department. To solve the rapidly growing problems related to the emergency care for the elderly psychiatric patients, analysing data of visiting emergency department at first and then active preparation of medical personnel shoud be preceded.
목차
서론
대상 및 방법
결과
고찰
결론
참고문헌
참고문헌 (41)
참고문헌 신청
1. [학술지(정기간행물)] - 김진년 / 2001 / 응급실을 내원한 65세 이상 노인 환자의 분석 / 노인병 5 : 224 ~ 231
2. [학술지(정기간행물)] - 왕순주 / 2003 / 노인 응급의학의 개요 / 노인병 7 : 1 ~ 13
3. [학술지(정기간행물)] - 구자성 / 2003 / 노인 환자에서의 신경계 응급 질환 / 노인병 3 : 174 ~ 185
4. [학술지(정기간행물)] - 유승일 / 2008 / 의식변화를 주소로 응급실에 내원한 환자들에 대한 임상 연구: 노인과 성인의 차이점 / 노인병 12 (2) : 82 ~ 88
5. [학술지(정기간행물)] - 이형민 / 2007 / 응급센터 노인 환자의 의료자원이용 실태 / 노인병 11 : 139 ~ 144
2. [학술지(정기간행물)] - 왕순주 / 2003 / 노인 응급의학의 개요 / 노인병 7 : 1 ~ 13
3. [학술지(정기간행물)] - 구자성 / 2003 / 노인 환자에서의 신경계 응급 질환 / 노인병 3 : 174 ~ 185
4. [학술지(정기간행물)] - 유승일 / 2008 / 의식변화를 주소로 응급실에 내원한 환자들에 대한 임상 연구: 노인과 성인의 차이점 / 노인병 12 (2) : 82 ~ 88
5. [학술지(정기간행물)] - 이형민 / 2007 / 응급센터 노인 환자의 의료자원이용 실태 / 노인병 11 : 139 ~ 144
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
경찰과 함께 응급실에 내원한 정신과 환자들의 특성
신경정신의학
2019 .01
-
응급실 환자 및 보호자의 폭력행위 예측요인
성인간호학회지
2014 .10
-
The Impact of an Emergency Fee Increase on the Composition of Patients Visiting Emergency Departments
예방의학회지
2014 .01
-
증상의 발현부터 치료의 시작까지 : 한국인의 공황장애 인식도 변화가 치료적 접근에 미친 영향
대한불안의학회지
2019 .01
-
자살 시도 후 응급실을 방문한 환자들의 정신과 협진 후 추후 관찰
신경정신의학
2011 .01
-
Survey Analysis; Emergency Surgery as a particular department
대한외과학회 학술대회 초록집
2015 .11
-
권역응급의료센터에 내원한 노인의 제 특성에 따른 내원과정 비교
보건의료산업학회지
2014 .01
-
응급실 내원 자살시도자의 정신과 진료 연계 관련 특성
동서간호학연구지
2014 .01
-
응급실 급성심근경색증 환자의 체류시간에 영향을 미치는 요인에 관한 연구
한국의료질향상학회지
2003 .01
-
서울지역 일개 지역응급의료센터에 내원한 환자의 보험급종별 응급실 이용행태 분류
한국응급구조학회지
2020 .01
-
48시간 이내 응급실 재방문에 대한 분석 - 일개 종합병원을 대상으로 -
한국의료질향상학회지
1999 .01
-
일 지역응급의료센터의 노인환자 내원율 및 관련특성
노인간호학회지
2009 .01
-
만성질환자의 상용치료원 보유 및 형태와 다빈도 응급실 이용
한국응급구조학회지
2017 .01
-
응급실 환자에 대한 통계적 고찰
Annals of Surgical Treatment and Research
1991 .11
-
응급의료센터 환자의 내원 정보 및 실태 분석
영남의대학술지
1999 .01
-
응급실에서의 정신전문간호원의 역할과 만성 정신질환자 간호 교육 프로그램의 모델 소개
대한간호
1986 .01
-
일개지역 구급활동 중 병원 전 심정지 및 약물중독 환자 분석
한국응급구조학회지
2010 .01
이 논문의 저자 정보
이 논문과 함께 이용한 논문
노인인구의 응급의료서비스에 대한 접근도 분석 : 충청남도 응급의료기관을 사례로
박정환
,
김영훈
대한지리학회 학술대회논문집
2016
.06
노인들의 가족돌봄에 대한 기대변화와 정책욕구
공선희
한국사회학
2013
.02
노인의 가족응집력, 스트레스, 우울 및 문제음주의 구조적 관계에 대한 연구
권중돈
,
김동기
,
김기수
외 1명
사회과학연구
2012
.07
다약제 복용 노인의 약물 오용 행위에 영향을 미치는 요인
이종경
성인간호학회지
2011
.12
노인자살률에 영향을 미치는 요인에 대한 거시적 분석
김기원
,
김한곤
한국인구학
2011
.12
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2012-513-004144137