在临床环境中预防和治疗老年人的妄想症
Morgan Faeder1, Elizabeth Hale2, Daniel Hedayati2
1University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15261, USA.
Therapeutic advances in psychopharmacology
|September 13, 2023
概括
非药物干预是最有效的预防老年人的妄. 抗精神病药物不应经常用于妄想治疗,但可能有助于管理激动,精神病和痛苦.
科学领域:
- 老年学是一门学科.
- 关键护理医学 关键护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 狂妄症是老年人常见的严重疾病,通常是由于医疗问题或药物导致的.
- 它呈现为波动的认知和注意力受损,在重症监护机构中,患病率更高 (高达80%).
- 妄想可以表现为过度活跃,低活跃或混合类型,使识别复杂化,特别是低活跃呈现.
研究的目的:
- 审查预防和治疗妄的非药理学和药理学策略.
- 专注于老年人作为一个特别脆弱的人群,面临着妄想风险.
- 评估当前预防和治疗方法的证据.
主要方法:
- 进行了叙事文学评论.
- 审查的重点是研究审查非药物和药物干预 Delirium.
- 重点放在与老年成人人口相关的证据上.
主要成果:
- 多组分非药理学方法显示出最有前途的妄预防方法.
- 目前的证据不支持常规使用抗精神病药物治疗妄症.
- 抗精神病药物可能会造成伤害,缺乏明确的益处.
结论:
- 非药物干预是预防老年痴呆症的首选策略.
- 抗精神病药物应保留用于管理特定症状,如兴奋,而不是作为主要的妄想治疗.
- 需要对像黑激素和α-2激动剂这样的药物进行进一步的研究,以控制妄想.
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