The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Am J Alzheimers Dis Other Demen. 2012 Feb;27(1):41-7. doi: 10.1177/1533317512439795.
Aggression is a common form of behavioral disturbance in dementia. Strategies to prevent and treat aggressive behavior are underdeveloped. However, recent work points to several modifiable risk factors that may be targets for intervention. Pain management is an evidence-based, feasible, but potentially underused, strategy that may be incorporated with other behavioral interventions to prevent aggression. In this article, we review areas of overlap in interventions for pain and for behavioral disturbances and describe an intervention concept that may hold promise for older adults with dementia who are at risk of developing aggressive behavior.
攻击行为是痴呆患者常见的行为障碍形式。预防和治疗攻击行为的策略尚未得到充分发展。然而,最近的研究指出了一些可改变的风险因素,这些因素可能是干预的目标。疼痛管理是一种基于证据、可行但可能未被充分利用的策略,它可以与其他行为干预措施结合使用,以预防攻击行为。在本文中,我们回顾了疼痛干预和行为障碍干预的重叠领域,并描述了一种干预概念,该概念可能对有发生攻击行为风险的痴呆老年患者有一定的应用前景。