临床表现 临床表现
Kanthee Anantapong1, Aimorn Jiraphan1, Warut Aunjitsakul1
1Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 24, 2025
概括
痴呆症的行为和心理症状 (BPSD) 影响60%的老年住院患者,导致护理人员的压力增加和医院再入院. 有针对性的管理策略和改进的出院计划对于更好的患者结果至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 对于痴呆症患者来说,急性医院护理存在独特的挑战.
- 痴呆症的行为和心理症状 (BPSD) 复杂化了护理,有各种证据表明它们在这种环境中的影响.
研究的目的:
- 评估BPSD在急性医院环境中的患病率.
- 调查与BPSD相关的因素,当前的管理策略和患者的结果.
主要方法:
- 一项系统性审查和对2024年3月之前发表的研究进行元分析.
- 搜索了主要的数据库 (科克兰图书馆,MEDLINE,PsycINFO) 进行相关研究.
- 分析了23项涉及超过10万名老年患者的研究数据,使用已建立的BPSD评估尺度.
主要成果:
- 在老年痴呆症住院患者中,聚合的BPSD患病率为60%.
- 攻击/兴奋,睡眠障碍,饮食问题和易怒是最常见的症状.
- BPSD与妄想,疼痛,干预使用增加,精神药物,照顾者压力和更高的再入院率有关.
结论:
- 高BPSD患病率需要在急性护理中制定有针对性的管理策略.
- 建议包括加强员工培训,改善护理人员沟通,以及全面的解雇规划.
- 需要进一步研究急性医院环境中的BPSD干预措施,以改善结果并减少护理人员的负担.
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