Wharton Tracy C, Ford Bryan K
a Department of Psychiatry , University of Michigan Medical School , Ann Arbor , Michigan , USA.
J Gerontol Soc Work. 2014;57(5):460-77. doi: 10.1080/01634372.2014.882466. Epub 2014 Jun 24.
Aggression is a known behavior in dementia, but there is little in the literature about risk to home-based caregivers in situations where severe aggression is present. This article examines this issue with a focus on what is known and where further research is needed. Rates of severe aggression by dementia care recipients against caregivers are estimated at greater than 20%, and may be the strongest predictor of nursing home placement. Measures containing both assessment of behavior and objective measures of caregiver trauma are needed, along with interventions aimed at educating and protecting caregivers while respecting communicative properties of behavior.
攻击行为在痴呆症中是一种已知的行为，但文献中很少有关于存在严重攻击行为时居家护理人员风险的内容。本文将聚焦于已知情况和需要进一步研究的方面来探讨这个问题。据估计，痴呆症患者对护理人员的严重攻击行为发生率超过20%，这可能是送入养老院的最强预测因素。需要同时包含行为评估和护理人员创伤客观测量的措施，以及旨在在尊重行为沟通特性的同时教育和保护护理人员的干预措施。
