关于痴呆症行为和心理症状的指导方针建议:系统审查
Jennifer A Watt1, Jennifer Porter2, Pattara Tavilsup2
1Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Journal of the American Medical Directors Association
|April 19, 2024
概括
这次审查综合了关于管理痴呆症行为和心理症状 (BPSDs) 的指导方针. 虽然存在许多建议,但可变性和适用性问题可能会阻碍痴呆症护理的临床实践实施.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 临床实践指南 临床实践指南
背景情况:
- 痴呆症的行为和心理症状 (BPSDs) 显著影响患者的福祉和照顾.
- 现有的临床实践指南为BPSD评估和管理提供了建议.
- 将这些准则适应加拿大环境需要综合和评估.
研究的目的:
- 从现有的痴呆症护理指南中系统地审查和综合BPSD评估和管理的建议.
- 为了确定加拿大临床实践和语言的潜在适应.
- 评估当前指南的质量和适用性.
主要方法:
- 2011年至2022年期间发表的关于痴呆症护理的中等到高质量的临床实践指南的系统审查.
- 在多个数据库中进行搜索 (MEDLINE,Embase,PsycINFO等). 和灰色的文学.
- 使用研究和评估指南评估 (AGREE) II工具进行质量评估.
主要成果:
- 确定了23条高质量的指导方针,其中包括264条关于BPSD评估和管理的建议.
- 痴呆症的行为和心理症状 (BPSD) 是最常用的术语.
- 建议陈述的变化和适用性得分低 (39.3%).
- 建议涵盖了兴奋,侵略,精神病,抑郁,焦虑,冷漠和饮食障碍.
结论:
- 对于BPSD评估和管理,存在中等到高质量的指导方针.
- 建议的变化和对适用性的不充分关注可能会阻碍指南的实施.
- 需要进一步努力,以便在加拿大临床实践中有效地适应和实施BPSD指南.
相关概念视频
01:30Dementia
113
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
113
01:19Introduction to Psychological Disorders
382
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
382
01:22Alzheimer's Disease: Treatment
183
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
183
01:30Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
01:30Positive Symptoms of Schizophrenia: Hallucinations and Delusions
89
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
89
01:19Autism Spectrum Disorder
88
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
88