老年人病理性赌博和问题赌博的评估与管理。

Assessment and management of pathological and problem gambling among older adults.

作者信息

Lucke Sherry, Wallace Meredith

机构信息

Yale New Haven Hospital, Connecticut, USA.

出版信息

Geriatr Nurs. 2006 Jan-Feb;27(1):51-7. doi: 10.1016/j.gerinurse.2005.12.005.

DOI:10.1016/j.gerinurse.2005.12.005

PMID:16483901

Abstract

The incidence of gambling among older adults has risen significantly over the last decade. Pathological and problem gambling disorders among older adults have devastating consequences including stress, alcohol abuse, loss of income and assets, treatment nonadherence, malnutrition, safety risks related to associated alcohol usage and financial losses, and increased psychiatric problems such as depression. This article reviews the theoretical frameworks and literature concerning gambling incidence, prevalence, behavior, diagnostic tools and interventional strategies for older adults, as well as nursing assessment, care planning, and management of gambling disorders.

摘要

在过去十年中，老年人赌博的发生率显著上升。老年人的病态赌博和问题赌博障碍会带来毁灭性后果，包括压力、酗酒、收入和资产损失、治疗依从性差、营养不良、与相关酒精使用和财务损失相关的安全风险，以及抑郁症等精神问题增加。本文回顾了有关老年人赌博发生率、患病率、行为、诊断工具和干预策略的理论框架和文献，以及赌博障碍的护理评估、护理计划和管理。