在长期护理环境中 Delirium 的病因学:一个Lernaean Hydra
Dounia Rouabhia1,2, Jean-Philippe Emond3, Félix Pageau3,4,5
1Research Institute of the McGill University Health Centre, Montreal, QC, Canada. Dounia.rouabhia.1@ulaval.ca.
European geriatric medicine
|November 14, 2025
概括
长期护理 (LTC) 中的妄想是多因素的. 本综述概述了诱发,加速和延续因素,开发了一种多元组件模型,以更好地预防和管理LTC环境中的妄想.
科学领域:
- 老年病的医生 老年病的医生
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 狂妄症是长期护理 (LTC) 环境中常见且严重的疾病.
- 精神疾病诊断和统计手册 (DSM-5) 通过急性发作,波动的过程和注意力障碍来定义妄想.
- 它的多因素性质需要全面了解有效管理.
研究的目的:
- 识别和概述妄的各种病因,特别是在长期护理 (LTC) 环境中.
- 开发一个概念模型,以理解和管理LTC中的妄想.
主要方法:
- 通过使用Cochrane数据库和MEDLINE进行了全面的文献搜索.
- 研究的重点是LTC环境中的妄想病的病因和诊断.
- 一个叙事审查是由老年医生和研究人员进行的.
主要成果:
- 一个"三P"的妄想模型被详细阐述:倾向性,加速性和延续性因素.
- 诱导因素包括痴呆症,轻度认知障碍和抑郁症.
- 诱发因素包括感染,药物,疼痛,感官问题,环境压力因素,营养不良,心血管事件和脱水.
结论:
- 在长期护理环境中概念化了迷妄的多元组件模型.
- 需要进一步的研究和系统审查来验证这个模型.
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