Onega Lisa L
School of Nursing, Radford University, P.O. Box 6964, 501 Stockton Street, Radford, VA 24142, USA.
Nurs Clin North Am. 2006 Mar;41(1):23-41, v. doi: 10.1016/j.cnur.2005.09.003.
Depression and behavioral symptoms occur in many older adults with dementia and result in serious consequences, including nursing home admissions, decreased functional ability, mortality, and increased healthcare costs. Assessment of depression in this population is challenging and is facilitated by using interviewer-rated instruments as an adjunct to clinical judgment. Clinicians should select a perspective that enables them to view behavioral symptoms associated with dementia in a therapeutic manner. Care for depression and behavioral symptoms should be individualized to match presenting symptoms. Issues related to psychoemotional and behavioral assessment are: (1) implementation of effective psychogeriatric models of care and (2) incorporating evidenced-based knowledge into practice settings.
抑郁症和行为症状在许多患有痴呆症的老年人中出现，并会导致严重后果，包括入住养老院、功能能力下降、死亡率上升以及医疗费用增加。对这一人群的抑郁症进行评估具有挑战性，使用访谈者评定工具作为临床判断的辅助手段有助于评估。临床医生应选择一种视角，使他们能够以治疗的方式看待与痴呆症相关的行为症状。对抑郁症和行为症状的护理应因人而异，以匹配所呈现的症状。与心理情绪和行为评估相关的问题包括：（1）实施有效的老年心理护理模式，以及（2）将循证知识纳入实践环境。
