Zuidema S U, van der Meer M M, Pennings G A T C, Koopmans R T C M
Verpleeghuisarts-onderzoeker, Stichting Kalorama, Beek-Ubbergen en afdeling Verpleeghuisgeneeskunde UMC St Radboud, Nijmegen.
Tijdschr Gerontol Geriatr. 2006 Mar;37(1):19-24.
Behavioural problems in dementia are a burden for patients and caregivers and are often the main reason for admission to a nursing home. Research on the prevalence of behavioural problems is scarce. In this study the prevalence of behavioural problems was estimated in nursing home patients with dementia. In 59 demented patients the Neuropsychiatric Inventory (NPI-NH) and the Cohen-Mansfield Agitation Inventory were used to measure behavioural problems over the last two weeks. Behavioural problems were present in about 85% of the study group. Using the NPI-NH aggression/agitation and apathy were present in almost 40% of the patients. Delusions, hallucinations, depression and anxiety were present in 10-15% of the patients. Using the CMAI cursing/verbal aggression, restlessness, complaining, negativism, and mannerisms were prevalent in 30%-50% of the patients. Larger studies on the prevalence of problem behaviour and possibly influencing factors are necessary.
痴呆症患者的行为问题给患者及其照料者带来了负担，并且常常是入住疗养院的主要原因。关于行为问题患病率的研究很少。在本研究中，对疗养院中患有痴呆症的患者的行为问题患病率进行了估计。在59名痴呆患者中，使用神经精神科问卷（NPI-NH）和科恩-曼斯菲尔德激越量表在过去两周内测量行为问题。研究组中约85%的患者存在行为问题。使用NPI-NH时，近40%的患者存在攻击/激越和冷漠。10%-15%的患者存在妄想、幻觉、抑郁和焦虑。使用CMAI时，30%-50%的患者普遍存在咒骂/言语攻击、坐立不安、抱怨、消极态度和怪癖。有必要开展关于问题行为患病率及可能影响因素的更大规模研究。
