Wancata Johannes, Benda Norbert, Meise Ullrich
Universitätsklinik für Psychiatrie, Klinische Abteilung für Sozialpsychiatrie und Evaluationsforschung, Wien.
Psychiatr Prax. 2004 Oct;31(7):346-51. doi: 10.1055/s-2004-828368.
While the importance of non-cognitive symptoms of dementia is increasingly recognized there exist nearly no studies investigating the frequency of these symptoms among general hospital inpatients and nursing home residents.
The sample consisted of elderly persons admitted to medical hospital departments (N = 372) and nursing homes (N = 249) in Austria. Study participants were investigated by research psychiatrists using the Clinical Interview Schedule.
Of all patients with dementia, in medical departments 28 % and in nursing homes 38 % had marked or severe non-cognitive symptoms. Using multivariate regression procedures non-cognitive symptoms turned out to be significant predictors for nursing home referral, for a prolonged duration of hospital stay, and for impaired self-care.
Non-cognitive symptoms of dementia occur frequently and have several negative consequences. Since such non-cognitive symptoms might be treatable, they should receive sufficient attention from the staff.
尽管痴呆非认知症状的重要性日益得到认可，但几乎没有研究调查综合医院住院患者和疗养院居民中这些症状的发生频率。
样本包括奥地利内科住院部收治的老年人（N = 372）和疗养院的老年人（N = 249）。研究参与者由研究精神科医生使用临床访谈表进行调查。
在所有痴呆患者中，内科有28%、疗养院有38%存在明显或严重的非认知症状。使用多变量回归程序发现，非认知症状是转至疗养院、住院时间延长和自我护理受损的显著预测因素。
痴呆的非认知症状经常出现，并会产生多种负面后果。由于此类非认知症状可能是可治疗的，故应得到工作人员的充分关注。
