Tarkan AMUK, Kalkan Nalan OĞUZHANOĞLU, Atilla OĞUZHANOĞLU, Sözeri Gülfizar VARMA, Filiz KARADAĞ

Huzurevindeki yaşlılarda demans yaygınlığı, ilişkili risk etkenleri ve eşlik eden psikiyatrik tanılar

Amaç: Huzurevinde yaşayanlarda demans yaygınlığı ve ilişkili risk etkenlerinin belirlenmesi ve demansa eşlik eden psikiyatrik tanıların saptanması amaçlanmıştır. Yöntem: Denizli Huzurevi'nde yaşayan 141 birey çalışma grubunu oluşturmuştur. Demans ve psikiyatrik tanılar DSM-IV ölçütlerine göre konmuştur. Bireylere Standardize Mini Mental Test, Hamilton Anksiyete Değerlendirme Ölçeği, Cornell Demansta Depresyon Ölçeği, Global Yıkım Ölçeği, Yaşlı Bireyler İçin Çok Boyutlu Gözlem Ölçeği uygulanmıştır. Bulgular: Örneklemin yüzde 66'sı erkek olan 141 kişinin yaş ortalaması 74.99±9.81 yıl, eğitim süresi ortalaması 1.79±3.03 yıl, huzurevinde kalış süresi ortalaması 43.68±44.94 ay olarak bulunmuştur. Yüzde 62.4 oranında saptanan demans tanıları, Alzheimer Hastalığı (67%, s=59), vasküler demans (25%, s=22) ve diğerleri (8%, s=7) olarak dağılmıştır. Demansı olan yaşlıların olmayanlara göre yaş ortalaması yüksek, eğitim süresi ortalaması düşük, kronik hastalık ve sürekli kullanılan ilaç sayısı daha fazla bulunmuştur (p

Prevalence of dementia, related risk factors and psychiatric comorbidity in nursing home residents

Objective: The aim of this study is to determine the prevalence of dementia and related factors and comorbid psychiatric disorder among elderly in nursing home. Methods: This study was done in 141 elderly people who live in Denizli nursing home. Dementia and psychiatric disorder were diagnosed according to DSM-IV diagnostic criteria. Mini Mental State Examination, Hamilton Anxiety Rating Scale, Cornell Scale for Depression in Dementia, Global Deterioration Scale, Multidimensional observation scale for elderly subjects were used for elderly in this study. Results: Our study includes elderly people who are men (66%) and women, the mean age of group was 74.99±9.81 years, the mean education years was 1.79±3.03 years, mean duration in nursing home was 42.68 months. Prevalence of DSM-IV dementia was 62.4% (n=88). Out of patients with dementia 59 (67%) were Alzheimer Disorder, 22 (25%) were vascular dementia and 7 (8%) were the other type of dementia. Age, number of chronic physical disorder and the number of the drugs used were higher in dementia group than in non-dementia group. Level of education was lower in elderly with dementia than elderly without dementia. Older age than 76 years, residing in rural areas, low education level, having to Diabetes Mellitus are determined to be the risk factors for depressive disorders according to logistic regression analysis. At least one psychiatric disorder was associated with 45.6% of dementia patients and depressive disorder was found to be the most diagnosed entity. Conclusion: The prevalence of dementia and comorbid depression is common among elderly people in nursing homes.

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