ความชุกของโรคจิตเวชในผ้ปู ่วยสูงอายุ คุณภาพชีวิต ของผู้ป่วยและผู้ดูแล และปัจจัยที่เกี่ยวข้อง

Abstract

Objectives : To find out the prevalence of psychiatric disorders, quality of life of patients and
caregivers and their correlated factors in elderly outpatients in Siriraj Hospital.
Methods : Subjects were 159 voluntary elderly (age ≥ 60 years) participants who were treated
at geriatric or psychiatric outpatient clinic in Siriraj Hospital and 36 caregivers. Evaluation tools
were SF-36 questionnaire and Mini international neuropsychiatric interview (M.I.N.I)Thai version.
Descriptive analysis was used. The association between correlated factors and major depressive
disorder, and suicidality were analyzed by using Chi-square test or Fisher’s exact test and Odd
ratio (95%CI). The association between correlated factors and quality of life was evaluated using
Mann-Whitney U-Test.
Results : The most common psychiatric disorder was major depressive disorders (n=16, 10.1%).
successful suicides was found in 21 patients (13.1%) even though the majority had the lowest
suicidal risk. Quality of Life in patient was similar as caregivers but in physical well being was the
lowest (mean score of SF-36 phyical well being in patients and caregivers was 57.58 and 60.42,
respectively). Factors that had statistically significant correlation with major depressive disorder
and suicidality were financial problem and prior history of psychiatric disorders. Marital status
as single/widowed/divorced, financial problems, family history of psychiatric disorders and prior
history of psychiatric disorders had statistically significant correlation with quality of life of patients.
Conclusion : The most common psychiatric problem in outpatient-elderly are successful suicides
and major depressive disorders. Doctors should look for psychiatric disorders and evaluate suicidal
risk in elderly patients and give a complete physical, mental and social treatment.