Birmingham & Solihull Mental Health Foundation Trust, UK.
Dementia (London). 2013 Mar;12(2):268-79. doi: 10.1177/1471301211422769. Epub 2011 Nov 20.
Dementia is a common illness that is increasing in frequency and set to challenge the resources and expertise of health and social care services over the coming years. Increasingly, there has been interest in the management of behavioural and psychological symptoms of dementia (BPSD), as they are both common and associated with a range of negative outcomes. BPSD are associated with the admission of people with dementia to care homes. Limited resources and lack of knowledge in permanent care settings often lead to BPSD being managed with antipsychotic medications, which are associated with significant morbidity and mortality. There is evidence for the benefits of exercise within care home settings, although only a few studies include those with cognitive impairment. Tai Chi is a mind-body exercise combining relaxed physical movement and meditation, and has been suggested to have many health benefits. This article discusses the rationale and available options for treating BPSD and the current practice and reviews the literature regarding the benefits of exercise and, in particular, Tai Chi in the management of BPSD.
痴呆症是一种常见的疾病，其发病率正在上升，预计在未来几年内将对卫生和社会保健服务的资源和专业知识构成挑战。人们越来越关注痴呆症的行为和心理症状（BPSD）的管理，因为这些症状既常见又与一系列负面结果有关。BPSD 与痴呆症患者入住养老院有关。在长期护理环境中，资源有限且知识匮乏，往往导致 BPSD 采用抗精神病药物进行管理，而这些药物与严重的发病率和死亡率有关。有证据表明，在养老院环境中进行锻炼有好处，尽管只有少数研究包括认知障碍患者。太极是一种身心结合的运动，结合了放松的身体运动和冥想，并且被认为有许多健康益处。本文讨论了治疗 BPSD 的基本原理和可用选择，以及关于运动的益处，特别是太极在 BPSD 管理方面的益处的当前实践和文献综述。
