痴呆症行为和心理症状的管理:非药物和药物干预措施
Jennifer A Watt1,2,3, Zahinoor Ismail4,5,6, Natasha Lane7,8
11Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Annual review of clinical psychology
|February 12, 2026
概括
非药物干预有效地减少痴呆症 (BPSD) 的行为和心理症状. 然而,临床实践显示,这些非药理学方法的使用不足和过度使用精神药物药物,突出需要改进抑郁症的策略.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 痴呆症的行为和心理症状 (BPSD) 显著影响患者的福祉和护理.
- 非药物干预措施在管理BPSD方面表现出有效性,但它们的临床采用是次优的.
- 对BPSD的精神药物使用是常见的,人们对过度使用和需要抑郁症的需求感到担忧.
研究的目的:
- 审查BPSD非药物和药物管理的证据.
- 为了比较不同BPSD治疗方式的疗效和风险.
- 为减轻精神药物处方和实施非药物策略提供建议.
主要方法:
- 文献审查和BPSD管理当前证据的综合.
- 对非药物干预与精神药物药物的比较分析.
- 讨论临床实施的挑战和历史背景.
主要成果:
- 非药物干预措施对BPSD有效,但它们在临床环境中的使用是有限的.
- 心理药物带有风险和好处,需要仔细考虑,重点是抑郁症.
- 整体的,以人为中心的护理计划和解决健康的社会决定因素对于有效的BPSD管理至关重要.
结论:
- 有必要改善对BPSD的非药物干预措施的采用.
- 停止处方的精神药物应该优先考虑,以比较疗效和风险-益处分析为指导.
- 未来的研究应该解决证据差距,并优化BPSD的综合护理方法.
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