Cariaga J, Burgio L, Flynn W, Martin D
Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania.
J Am Geriatr Soc. 1991 May;39(5):501-7. doi: 10.1111/j.1532-5415.1991.tb02497.x.
This paper reports the results of a controlled study comparing geriatric residents in nursing homes who displayed disruptive vocalizations with residents in a comparison group. Two 350-bed nursing homes were surveyed, and it was found that 11% of the residents engaged in disruptive vocalizations, at least once per week, of sufficient severity to require consideration in the resident's care plan. Results show that disruptive vocalizers were more functionally impaired and were more likely to receive a diagnosis of dementia. They were also more likely to display a higher activity level and to experience sleep disturbance and to be prescribed neuroleptic medications. Descriptive data are presented on typology of disruptive vocalizations, likely situations for their occurrence, and the utilization and perceived efficacy of common interventions. Suggestions are made regarding behavioral treatments for this vexing problem.
本文报告了一项对照研究的结果，该研究比较了养老院中出现干扰性发声的老年居民与对照组居民。对两家拥有350张床位的养老院进行了调查，发现11%的居民每周至少有一次出现严重到需要在护理计划中加以考虑的干扰性发声。结果显示，出现干扰性发声的居民功能受损更严重，更有可能被诊断为痴呆症。他们也更有可能表现出较高的活动水平，经历睡眠障碍，并被开抗精神病药物。文中给出了关于干扰性发声的类型、可能发生的情况以及常见干预措施的使用和感知效果的描述性数据。针对这个棘手问题的行为治疗提出了建议。
