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最近 10年間 綜合病院 精神科에 來院한 老人 患者에 對한 槪觀

An Overview on Elderly Psychiatric Patients of General Hospitals for the Past 10 Years

경북의대잡지 1974년 15권 1호 p.75 ~ 88
윤석하,
소속 상세정보
윤석하 (  ) - 경북대학교 의과대학 신경정신과교실

Abstract


In the recent years, as our nation becomes industrialized, a concern on the geriatric population has been grown.
This overview is to provide some fundamental infor.~.ations for the psychiatric problems among the geriatric population.
Total of 319 psychiatric patients of over 60 years old from the psychiatric service of Kyungpcol~ University Hospital and Dongsan Presbyterian Hospital for, the past 10 years (19641973) have been studied.
Some significant findings are summarized as follows:
Comparing to the total number of psychiatric patient, geriatric cases comprised only 3.3% of outpatients and 3.2% of inpatients. However, number of outpatient tends to´ ncrease in recent years, whereas, inpatient to decrease.
In the recent years. the elderly cases are more from- the. rural community, wheres in general. the psychiatric population at large comes from the urban area.
Male cases outnumbered female in the entire psychiatric population including the elderly.
Approximately 60% of the cases are aged between 60 and 64, and more than 75 % are below 70´s.
Majority of the cases were diagnosed as neurosis, and more than half of which are sub~typed as depressive in nature.
While the affective psychosis tends to decrease remarkably in the recent years, depressive-naeurosis tends to increase to the certain extent.
Those, `vho live alone, bereaved spouse, and separated from their eldest son,. are seemingly quite prone to "depressive equivalent", ie, more of neurosis and psychophysiological ailment.
In viewing the inpatient population, schizophrenia is the most common in 32% of total inpatient, and senile psychosis next in 15%.
A third of total cases refused a medical care offered, especially the organic brain syndrome cases were more so up to 44%.
Surprisingly, more than 65% of total cases had never made a follow up visit.

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