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管理疼痛以预防痴呆患者的攻击行为:一种非药物干预。

Managing pain to prevent aggression in people with dementia: a nonpharmacologic intervention.

机构信息

The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

出版信息

Am J Alzheimers Dis Other Demen. 2012 Feb;27(1):41-7. doi: 10.1177/1533317512439795.

DOI:10.1177/1533317512439795
PMID:22467413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10697350/
Abstract

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.

摘要

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。

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本文引用的文献

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Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial.治疗疼痛以减少痴呆养老院居民行为障碍的效果: 集群随机临床试验。
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Nondrug therapies for pain management among rural older adults.农村老年人疼痛管理的非药物疗法。
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Course of neuropsychiatric symptoms in residents with dementia in nursing homes over 2-year period.2 年内养老院痴呆患者神经精神症状的发展过程。
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The quality of emergency department pain care for older adult patients.老年患者急诊疼痛护理质量。
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Do informal caregivers consider nonverbal behavior when they assess pain in people with severe dementia?当非正式照护者评估严重痴呆症患者的疼痛时,他们会考虑非言语行为吗?
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Management of neuropsychiatric symptoms in people with dementia.痴呆患者的神经精神症状管理。
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