北特伦德拉格郡养老院患者的痴呆症和神经精神症状
Dementia and neuropsychiatric symptoms in nursing-home patients in Nord-Trøndelag County.
作者信息
Bergh Sverre, Holmen Jostein, Saltvedt Ingvild, Tambs Kristian, Selbæk Geir
机构信息
Centre for Old-Age Psychiatry Research, Innlandet Hospital Trust, Norway.
出版信息
Tidsskr Nor Laegeforen. 2012 Sep 18;132(17):1956-9. doi: 10.4045/tidsskr.12.0194.
BACKGROUND
Earlier studies have revealed a high prevalence of dementia among nursing home patients. We conducted a descriptive study of dementia and neuropsychiatric symptoms among patients in nursing homes in Nord-Trøndelag County, Norway.
MATERIAL AND METHODS
704 nursing home patients were included and studied with the Norwegian versions of the clinical demential rating scale (CDR) and the neuropsychiatric inventory (NPI).
RESULTS
The study indicated that 575 patients (82%) had dementia. Of these, 430 patients (75%) had at least one clinically significant neuropsychiatric syndrome in addition, most commonly delusions, apathy or irritability. The neuropsychiatric symptoms could be grouped in four categories: psychosis, apathy, affective symptoms and agitation.
INTERPRETATION
The findings are comparable with earlier studies of Norwegian nursing home patients. The high prevalence of dementia and neuropsychiatric symptoms is of significance for the clinical practice, running and planning of nursing homes.
背景
早期研究显示养老院患者中痴呆症的患病率很高。我们对挪威北特伦德拉格郡养老院患者的痴呆症和神经精神症状进行了一项描述性研究。
材料与方法
纳入704名养老院患者，使用挪威版临床痴呆评定量表（CDR）和神经精神科问卷（NPI）进行研究。
结果
研究表明，575名患者（82%）患有痴呆症。其中，430名患者（75%）另外至少有一种具有临床意义的神经精神综合征，最常见的是妄想、冷漠或易怒。神经精神症状可分为四类：精神病性症状、冷漠、情感症状和激越。
解读
这些发现与早期对挪威养老院患者的研究结果相当。痴呆症和神经精神症状的高患病率对养老院的临床实践、运营和规划具有重要意义。
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