Evaluation and Comparison of Cognitive State and

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Dec 11, 1986 - 3- Forensic ... In the second group, 51 cases (56%) had normal condition, ... moderate depression and 10 cases (11%) suffered from severe ...
‫داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ و ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ ﺷﺎﻫﺮود‬

‫ﺑﺮرﺳﻲ ﻣﻘﺎﻳﺴﻪاي وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ و اﻓﺴﺮدﮔﻲ ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺳﺮاي ﺳﺎﻟﻤﻨﺪان و ﺳﺎﻛﻦ ﻣﻨﺎزل ﺷﺨﺼﻲ‬ ‫ ﻣﺠﺘﺒﻲ‬،(M.Sc.) 1‫ ﺳﻴﺪ ﻣﺤﻤﺪ آﻗﺎﻳﺎن‬،(G.P.) 3‫ دﻛﺘﺮ ﻓﺮزاﻧﻪ ﻣﻬﺪيزاده‬،(G.P.) 2‫ دﻛﺘﺮ ﭘﻮﻧﻪ ذواﻟﻔﻘﺎري‬،(G.P.) 1*‫دﻛﺘﺮ ﻣﺤﻤﺪﺑﺎﻗﺮ ﺳﻬﺮاﺑﻲ‬ 4 1 1 (M.Sc.) ‫ اﺣﻤﺪ ﺧﺴﺮوي‬،(B.Sc.) ‫ زﻫﺮا ﺷﺮﻳﻌﺘﻲ‬،(B.Sc.) ‫ﻗﺎﺳﻤﻴﺎن آﻗﻤﺸﻬﺪي‬ ‫ ﻛﺎرﺷﻨﺎس‬-‫ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﺎﻫﺮود‬-4 .‫ ﭘﺰﺷﻚ ﻋﻤﻮﻣﻲ‬-‫ـ ﺳﺎزﻣﺎن ﭘﺰﺷﻜﻲ ﻗﺎﻧﻮﻧﻲ ﻗﻢ‬3 .‫ ﻣﻌﺎوﻧﺖ ﺑﻬﺪاﺷﺘﻲ‬-‫ـ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﺎﻫﺮود‬2 .(‫ ﺑﻴﻤﺎرﺳﺘﺎن اﻣﺎم ﺣﺴﻴﻦ)ع‬-‫ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﺎﻫﺮود‬-1 .‫ارﺷﺪ اﭘﻴﺪﻣﻴﻮﻟﻮژي‬

87/2/15 :‫ ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‬،86/12/11 :‫ﺗﺎرﻳﺦ درﻳﺎﻓﺖ‬

‫ﭼﻜﻴﺪه‬

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.‫ ارزﻳﺎﺑﻲ و ﻣﻘﺎﻳﺴﻪ ﺷﺪه اﺳﺖ‬86 ‫ در اﻳﻦ ﭘﮋوﻫﺶ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ و اﻓﺴﺮدﮔﻲ ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺧﺎﻧﻪ ﺳﺎﻟﻤﻨﺪان و ﺳﺎﻛﻦ ﻣﻨﺎزل ﺷﻬﺮ ﺷﺎﻫﺮود در ﺳﺎل‬:‫ﻣﻘﺪﻣﻪ‬ ‫ ﭘﺮﺳﺶﻧﺎﻣﻪﻫﺎي اﺳﺘﺎﻧﺪارد ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ‬.‫ ﻧﻔﺮ از ﺳﺎﻟﻤﻨﺪان ﺳﺎﻛﻦ در ﻣﻨﺎزل ﺷﺨﺼﻲ اﻧﺠﺎم ﺷﺪه اﺳﺖ‬90 ‫ ﺳﺎﻟﻤﻨﺪ ﻣﻘﻴﻢ ﺧﺎﻧﻪ ﺳﺎﻟﻤﻨﺪان و‬46 ‫ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮ روي‬:‫ﻣﻮاد و روشﻫﺎ‬ .‫( ﭘﺲ از ﻣﻌﺎﻳﻨﻪ ﺑﺮاي دو ﮔﺮوه ﺗﻜﻤﻴﻞ ﮔﺮدﻳﺪ‬Geriatric Depression Scale) ‫( و ﻓﺮم ﻛﻮﺗﺎه ﺑﺮرﺳﻲ اﻓﺴﺮدﮔﻲ در ﺳﺎﻟﻤﻨﺪان‬Minimal Mental Status Examination) ‫( اﺧـﺘﻼل ﺷـﻨﺎﺧﺘﻲ ﻣﺘﻮﺳـﻂ‬%34/8) ‫ ﻧﻔﺮ‬16 ،(MMSE ≥ 21) ‫( اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ ﺧﻔﻴﻒ‬%28/3) ‫ ﻧﻔﺮ‬13 ،‫ در ﺧﺼﻮص ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ در ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺳﺮاي ﺳﺎﻟﻤﻨﺪان‬:‫ﻧﺘﺎﻳﺞ‬ -‫ ﻣﺘﻮﺳـﻂ و ﺷـﺪﻳﺪ ﺑـﻪ‬،‫ در ﺣﺎﻟﻲﻛﻪ در ﺳﺎﻟﻤﻨﺪان ﺳﺎﻛﻦ ﻣﻨﺎزل ﺷﺨﺼﻲ اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ ﺧﻔﻴـﻒ‬،‫( داﺷﺘﻨﺪ‬MMSE < 10) ‫( اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ ﺷﺪﻳﺪ‬%37) ‫ ﻧﻔﺮ‬17 ‫( و‬10≤ MMSE < 21) ‫( اﻓﺴـﺮدﮔﻲ‬%26/1) ‫ ﻧﻔـﺮ‬12 ،‫( وﺿـﻌﻴﺖ ﻃﺒﻴﻌـﻲ‬%30/4) ‫ ﻧﻔـﺮ‬14 ‫ در ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺳﺮاي ﺳـﺎﻟﻤﻨﺪان‬،‫ در ﺧﺼﻮص ﺑﺮرﺳﻲ ﺣﺎﻟﺖ اﻓﺴﺮدﮔﻲ‬.‫ ﻧﻔﺮ ﮔﺰارش ﺷﺪه اﺳﺖ‬1 ‫ و‬40 ،49 ‫ﺗﺮﺗﻴﺐ در‬ (%11) ‫ ﻧﻔـﺮ‬10 ‫( اﻓﺴﺮدﮔﻲ ﻣﺘﻮﺳـﻂ و‬%31/9) ‫ ﻧﻔﺮ‬29 ،‫( وﺿﻌﻴﺖ ﻃﺒﻴﻌﻲ‬%56) ‫ ﻧﻔﺮ‬51 ‫ در ﮔﺮوه دوم‬،‫( داﺷﺘﻨﺪ‬GDS > 10) ‫( اﻓﺴﺮدﮔﻲ ﺷﺪﻳﺪ‬%43/5) ‫ ﻧﻔﺮ‬20 ‫( و‬3 < GDS ≤10) ‫ﻣﺘﻮﺳﻂ‬ .‫اﻓﺴﺮدﮔﻲ ﺷﺪﻳﺪ داﺷﺘﻨﺪ ﻛﻪ اﺧﺘﻼف ﺑﻴﻦ دوﮔﺮوه ﻣﻌﻨﺎدار ﻣﻲﺑﺎﺷﺪ‬ ‫ ﻛﻪ ﺑﺎ ﺗﻘﻮﻳﺖ ارﺗﺒﺎﻃﺎت ﺧﺎﻧﻮادﮔﻲ و ﺑﺮﻧﺎﻣﻪﻫﺎي ورزﺷﻲ ﻣـﻲﺗـﻮان‬،‫ اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ و ﺷﺪت اﻓﺴﺮدﮔﻲ در ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺧﺎﻧﻪ ﺳﺎﻟﻤﻨﺪان ﺑﻪﻃﻮر ﻣﻌﻨﺎداري ﺑﻴﺶﺗﺮ ﮔﺰارش ﺷﺪه‬:‫ﻧﺘﻴﺠﻪﮔﻴﺮي‬ .‫آنﻫﺎ را ﻛﺎﻫﺶ دﻫﻴﻢ‬

.‫ ﺑﺮرﺳﻲ اﻓﺴﺮدﮔﻲ‬،‫ ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ‬،‫ ﺳﺮاي ﺳﺎﻟﻤﻨﺪان‬،‫ ﺳﺎﻟﻤﻨﺪي‬:‫واژهﻫﺎي ﻛﻠﻴﺪي‬ Knowledge & Health 2008;3(2):27-31

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Orginal Article

Evaluation and Comparison of Cognitive State and Depression in Elderly Admitted in Sanitarium with Elderly Sited in Personal Home Mohamad-baghere Sohrabi1*, Pone Zolfaghari2, Farzane Mahdizade3, Seyd-Mohammad Aghayan1, Mojtaba GhasemianAghmashhadi1, Zahra Shariati1, Ahmad Khosravi 4

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1- Imam Hossein Hospital, Shahroud University of Medical Sciences, Iran. 2- Health Deputy, Shahroud University of Medical Sciences, Iran. 3- Forensic or legal Medicine of Qom, Iran. 4- M.Sc. in Epidemiology, Shahroud University of Medical Sciences, Iran.

Abstract:

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Introduction: In this study cognitive state and geriatric depression in elderly living in sanatorium and personal home were evaluated. Methods: The present study was conducted on 46 aged subjects living in sanitarium and 90 aged subjects staying in personal homes. Mini mental status examination (MMSE) and geriatric depression scale (GDS) questionnaires were completed according to the standard examination. Results: As for the cognitive state of the aged living in sanitarium, 13 cases (28.3%) suffered from mild (MMSE≥21), 16 cases (24.8%) from moderate (10≤MMSE

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