Examination of Health and Life of Admitted Patients in National Sanatorium Oshima Seisho-en by Questionaire

Abstract

In the national sanatorium Oshima Seisho-en, the average age of admitted patients went over 60 ages, the number of old patients being rapidly increasing. Accordingly, the review of medical treatment, welfare and life which were done from habit is requested. This examination was made as a first step for making the fine method of correspondance after thinking about "what is asked for medical treatment and nursing?" and "what can we do?". The actual condition of health and life of admitted patients in Oshima Seisho-en was examined by questionaire.The table of anamnesis was used for the examination. The symptoms of digestive system, circulatory system, urinary system and respiratory system were listed. Besides, the items of drinking, smoking, past history and sphere of action were adopted in order to know the taste and habit of answerer. The subjects of questionaire were 399 cases admitted patients except long out stayer (male 255 cases: 64%, female 144 cases: 36%, over 65 years 153 cases: 38%). The answer of questionaire was got by alternative judgement by answer as "yes" or "no". Nurse or assistant nurse asked the answer.Table 3 shows the percentage of symptoms of each system and two symptoms which were frequently complained of (dizziness and thirst). When the systems are arranged in order of frequent complain, the first was cicrulatory system (164 cases: 41%), 2) respiratory system (100 cases: 25%), 3) digestive system (58 cases: 15%), 4) urinary system (30 cases: 7%). The dizziness is a symptom which appear by the disease of several system, and was complained by 141 cases (35%). The thirst is regarded as a symptom by common use of many drugs or glucosuria, and was complained by 132 cases (33%).The table 4 shows the sex of answerers which have complaint. Circulatory system (male 99 cases: 39%, female 65 cases: 45%), respiratory system (male 66 cases: 26%, female 35 cases: 24%), digestive system (male 38 cases: 15%, female 22 cases: 15%), urinary system (male 19 cases: 7%, female 13 cases: 9%), dizziness (male 82 cases: 32%, female 58 cases: 40%), thirst (male 77 cases: 30%, female 56 cases: 39%). Accordingly, the rate of cases having complaint is a little more in female than in male.The table 5 shows the percentage of complaint of each system per 153 patients over 65 years. The number of patients having the complaint of circulatory system was 64 cases (42%), respiratory system 47 cases (31%), digestive system 21 cases (14%), urinary system 14 cases (9%), dizziness 63 cases (41%) and thirst 70 cases (46%).The table 6 shows the rate of patients over 65 years per the number of patients having complaint. In circulatory system, the number of patients over 65 years is 64 cases (39%), in respiratory system 47 cases (47%), in digestive system 21 cases (36%), in urinary system 14 cases (47%), in dizziness 63 cases (45%) and in thirst 70 cases (53%). The number of patients over 65 years is no more than 153 cases (38%) among 399 cases, the total number of answere. Considering it, it is thought that the morbidity of old patients over 65 years is high.The table 7 shows the rate of patients who pass a day in their private room except inevitable going out. One hundred and thirty six patients (34%) among 399 cases, the total number of answerer, pass almost a day in their private room. This rate is high. Sixty nine patients (45%) among 153 patients over 65 years pass almost a day in their private room.All these complaints obtained by questionaire do not mean the presence of some disease, but the possibility of latency of serious disease among the patients having these complaints is thought.