MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG VÀ YẾU TỐ LIÊN QUAN CỦA NGƯỜI BỆNH LOẠN THẦN DO RƯỢU CÓ HOANG TƯỞNG, ẢO GIÁC CHIẾM ƯU THẾ TẠI BỆNH VIỆN TÂM THẦN NAM ĐỊNH 2021

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Tác giả: Văn Hợp Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2023

Mô tả vật lý: tr.160

Bộ sưu tập: Báo, Tạp chí

ID: 341445

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Mục tiêu: Mô tả một số đặc điểm lâm sàng và yếu tố liên quan của người bệnh loạn thần do rượu có hoang tưởng, ảo giác chiếm ưu thế đang điều trị nội trú tại Bệnh viện Tâm thần Nam Định năm 2021. Đối tượng và phương pháp nghiên cứu:Nghiên cứu mô tả cắt ngang được tiến hành với 75 người bệnh loạn thần do rượu hoang tưởng, ảo giác chiếm ưu thế điều trị nội trú tại Bệnh viện Tâm thần Nam Định từ tháng 4/2021 đến tháng 10/2021. Kết quả: Người bệnh bị viêm gan hoặc xơ gan là 30,67%. 80% người bệnh vào viện với trang phục kém gọn gàng, da, niêm mạc kém hồng hoặc có trầy xước. Người bệnh vào viện trong tình trạng có rối loạn hành vi: đi lại lộn xộn, kích động (94,7%)
100% người bệnh có rối loạn cảm xúc. 68,0% có hoang tưởng bị hại
Hoang tưởng ghen tuông (18,7%). Rối loạn thần kinh thực vật - dấu hiệu run tay chân gặp với tỷ lệ (76,0%). (98,7%) có dấu hiệu ngủ kém, không ngủ được
70,7% người bệnh trong tình trạng ăn uống khi nhập viện. Mắc bệnh tim mạch, huyết áp gặp tần xuất nhiều hơn ở người bệnh có thời gian uống rượu ≥ 15 năm. Kết luận: Nhóm tuổi chiếm tỷ lệ cao nhất là độ tuổi lao động. Người bệnh bị viêm gan hoặc xơ gan chiếm tỷ lệ (30,67%) cao hơn các bệnh cơ thể khác. Hầu hết người bệnh vào viện trong tình trạng rối loạn cảm xúc (100%), hành vi (94,7%), có giảm trí nhớ, run tay chân (76,0%), ăn uống kém....Có mối liên quan giữa tình trạng ăn uống kém, bệnh cơ thể với nhóm tuổi.Objectives: To describe some clinical signs and related factors for patients with alcoholic psychosis with dominant delusions and hallucinations undergoing inpatient treatment at Nam Dinh Psychiatric Hospital in 2021. Subjects and Methods: Cross-sectional description was implemented among 75 patients diagnosed with alcoholic psychosis, paranoid, hallucinogen predominance being inpatient treatment at Nam Dinh Psychiatric Hospital from April 2021 to October 2021. Results: Patients with hepatitis or cirrhosis were 30.67%. 80% of patients were admitted to the hospital with untidy clothes, less pink skin and mucous membranes or scratches. Patients admitted to the hospital in a state of behavior disorder: walking disorderly, agitation (94.7%)
100% of patients have emotional disorders. 68% of patients had delusions of being harmed
Jealousy delusions (18.7%). Nervous system disorders - signs of tremor in the hands and feet encountered with frequency (76%). (98.7% of patients ) showed signs of poor sleep, unable to sleep
70.7% of patients were in a state of eating and drinking upon admission. Cardiovascular disease, blood pressure is more common in patients with alcohol consumption time ≥ 15 years. Conclusion: The age group with the highest percentage was the working age. Patients with hepatitis or cirrhosis account for a higher rate (30.67%) than other body diseases. Most of the patients admitted to the hospital in a state of emotional disturbances (100%), behavior (94.7%), memory loss, tremors (76%), poor eating.... There was a relationship. relationship between poor eating status, physical diseases and age group

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