Loi Samantha M, Westphal Alissa, Ames David, Lautenschlager Nicola T
FRANZCP, Grad Cert POA, MPsych, MBBS, Academic Unit for Psychiatry of Old Age, St Vincent's Health, University of Melbourne, VIC; Dementia Behaviour Management Advisory Service Victoria, St Vincent's Health, VIC; North Western Aged Mental Health, Melbourne Health, VIC.
Aust Fam Physician. 2015 Apr;44(4):180-4.
With the ageing population there will be an increasing number of older Australians who have dementia and require residential care. Up to 90% of people with dementia in residential care show behavioural and psychological symptoms of dementia (BPSD). General practitioners (GPs) have an important role in managing these challenging behaviours. Psychotropic medications, although useful in certain clinical situations, can have significant side effects including increased risk of falls, over-sedation and increased mortality. Non-pharmacological strategies are first-line treatment for BPSDs.
The aim of this article is to present the latest evidence in the management of BPSD in residential care.
GPs can have a crucial role in managing the needs of people with dementia by providing regular reviews and supporting the implementation of simple, evidence-based, non-pharmacological strategies.
随着人口老龄化，患有痴呆症且需要住院护理的澳大利亚老年人数量将不断增加。在接受住院护理的痴呆症患者中，高达90%表现出痴呆症的行为和心理症状（BPSD）。全科医生（GP）在管理这些具有挑战性的行为方面发挥着重要作用。精神药物虽然在某些临床情况下有用，但可能会产生重大副作用，包括跌倒风险增加、过度镇静和死亡率上升。非药物策略是BPSD的一线治疗方法。
本文旨在介绍住院护理中BPSD管理的最新证据。
全科医生通过定期评估并支持实施简单、基于证据的非药物策略，在满足痴呆症患者需求方面可发挥关键作用。
