ความชุกของกลุ่มอาการสูงอายุและลักษณะของผู้ป่วยสูงอายุที่เข้ารับการรักษา ในคลินิกผู้สูงอายุ โรงพยาบาลศิริราช Prevalence of geriatric syndromes and characteristics of elderly patients in geriatric clinic, Siriraj hospital

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ปิติพร สิริทิพากร วีรศักดิ์ เมืองไพศาล ดุจปรารถนา พิศาลสารกิจ เพ็ญศรี เชาว์พานิชย์เวช ไพฑูรย์ เหล่าจันทร์ สุทิศา ปิติญาณ นภาพร เพ็งสอน

Abstract

This research aimed to survey the prevalence of geriatric syndromes and characteristics of elderly patients in a Geriatric Clinic, Siriraj Hospital, Mahidol University, Bangkok, Thailand. The sample consisted of 1,171 patients, accounting for 95% of the patients who visited a doctor during January to July 2017. The instruments used in the study were the geriatric syndromes screening questionnaire and medical record review to evaluate the symptoms over a period of prior 3 months before the survey. Data were analyzed using descriptive statistics and Chi-square test.                The findings revealed that the majority of caregivers were female (67.5%) with the average age of 79.3 years. (SD=7.8). The five most common geriatric syndromes were cognitive impairment (40.6%), followed by incontinence (38.0%), sleep problem (26.4%), fall within 3 months (12.0%) and anorexia (11.6%). Persons with dementia had at least 2 other geriatric syndromes. The variables significantly associated with cognitive impairment were age (p <.05), gender (p <.05) and the self-care ability (p <.001). Geriatric syndromes associated with cognitive impairment were falls (p <.05), incontinence (p <.001), and delirium (p <.001).                The results of this study raise the awareness of screening geriatric syndromes which require the thorough assessment. Although some of geriatric syndromes cannot be prevented to occur, planning for care and surveillance can prevent complications and might reverse the conditions. The older adults with cognitive impairment usually had other geriatric syndromes. Risk of complications is greater than those without cognitive impairment. Therefore, special evaluation and management in this particular group should be implemented.

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