Houston Center for Quality of Care & Utilization Studies, Houston, TX 77030, USA.
J Neuropsychiatry Clin Neurosci. 2010 Winter;22(1):40-7. doi: 10.1176/jnp.2010.22.1.40.
This study examined aggression as a predictor of nursing-home placement, injuries, use of restraints, and use of health services in community-dwelling patients with newly diagnosed dementia. Participants were identified from 2001-2004 Veterans Administration databases; all had a new diagnosis of dementia and no aggression. Patients and caregivers were evaluated for aggression, using the Cohen-Mansfield Agitation Inventory-aggression subscale, and other outcomes for 2 years, with outcome rates compared between patients who did or did not develop aggression and between pre- and postaggressive periods. Of 215 patients, 88 became aggressive, associated with significantly increased use of psychotropic medication (p< or =0.04), injuries (p< or =0.0001), and nursing-home placement (p< or =0.004).
本研究旨在探究攻击行为是否会导致新诊断为痴呆症的社区居住患者被送往养老院、受伤、使用约束带和使用医疗服务。参与者是从 2001 年至 2004 年退伍军人事务部数据库中确定的，所有患者都有新的痴呆症诊断，且无攻击行为。使用科恩-曼斯菲尔德激越量表的攻击分量表以及其他评估方法，对患者和护理人员进行了为期 2 年的攻击行为评估，比较了出现或未出现攻击行为患者的结果发生率，并比较了攻击前后的发生率。在 215 名患者中，有 88 名患者出现了攻击行为，这与精神药物（p< 或 =0.04）、受伤（p< 或 =0.0001）和养老院安置（p< 或 =0.004）的使用显著增加有关。
