Po Izvješcu Svjetske zdravstvene organizacije o stanju duševnog zdravlja u svijetu iz 2001. godine, AB i ostale demencije imaju prevalenciju od 0,6% u opcoj populaciji. Zadarska županija ima 165.000 stanovnika i predvidivo je da po toj stopi ima oko 1000 pacijenata s AB i ostalim demencijama.
Pratili smo kretanje hospitalizacija poradi AB, ostalih demencija i organskog psihosindroma na Psihijatrijskom odjelu Opce bolnice Zadar kroz 20 godina i podijelili to razdoblje u dva dijela: od 1986. do
1995. godine (5 godina prije rata i 5 godina rata), te od 1996. do 2005. (deset godina poslije rata).
Našli smo da je broj hospitalizacija poradi AB, ostalih demencija i organskog psihosindroma, kroz razdoblje 1986-1995. godine bio: Alzheimerova bolest – 2, ostale demencije – 40, organski psihosindrom – 89, dakle ukupno 131, dok je ukupan broj hospitalizacija na psihijatrijskom odjelu u Zadru bio je 4439.
Kroz razdoblje 1996.- 2005. godine broj hospitalizacija poradi istih poremecaja bio je: Alzheimerova bolest – 54, ostale demencije – 156, organski psihosindrom -138, dakle ukupno 348 od ukupno 6071
hospitalizacija.
Znaci, u prvom promatranom razdoblju 2,64% od ukupno hospitaliziranih pacijenata hospitalizirano je poradi AB, ostalih demencija i organskog psihosindroma, a u razdoblju 1996.-2005. godine 5,73% od ukupno hospitaliziranih pacijenata hospitalizirano je poradi M. Alzheimer, ostalih demencija ili organskog psihosindroma. Izracunom smo pokazali da je ta razlika i statisticki znacajna. Te razlike možemo tumaciti na razne nacine – porastom broja demencija i organskog psihosindroma i povecanjem broja hospitalizacija ili pak smanjenjem tolerancije obitelji spram oboljelih od tih poremecaja i težnjom hospitalizaciji.
U svakom slucaju društvo i psihijatrijska djelatnost nalaze se pred problemom pojacanog pritiska za hospitalizacijom pacijenata s demencijom ili organskim psihosindromom, i kao društvo moramo poduzeti adekvatne mjere u rješavanju tog sve prisutnijeg problema.According to the World Health Organization report on the state of mental health published in 2001, the prevalence of AD and other dementias was 0.6% in the general population. Zadar county has 165.000 inhabitants, so, using this percentage, we can predict there are some 1000 patients with AD and dementia in our county.
We have investigated the rate of hospitalization of patients with AD, other dementias and organic psychosyndrome in Zadar General Hospital Psychiatric Ward in the last 20 years. We divided this period
into two parts – 1986 to 1995 (5 years before the war and 5 years of war) and 1996-2005 (ten years after the war).
We found that the number of hospitalized patients with AD, other dementias and organic psychosyndrome in 1986-1995 was: Alzheimer\u27s disease – 2, other dementias – 40, organic psychosyndrome – 89, total – 131, and the total number of hospitalized patients was 4439.
In the period of 1996-2005 the number of hospitalized patients with the same disorders was: Alzheimer`s disease – 54, other dementias – 156, organic psychosyndrome – 138, total – 348, and the total number of hospitalized patients was 6071.
We can see that in the first monitored period 2.64% of hospitalized patients had AD, other dementias and organic psychosyndrome, and in the second period 5.73% of the hospitalized patients had these disorders.
The difference is statistically significant. This difference can be interpreted in different ways – growth in the number of dementias and organic psychosyndrome patients and the increased number of hospitalizations or the decrease of family tolerance towards such patients and the wish for hospitalization.
In any case, society and psychiatric professionals are confronting a problem of increased pressure in hospitalizing patients with dementia or organic psychosyndrome, and as a society we have to take adequate measures in solving this emerging problem
