Molleman Pieter W, van Kesteren J B M Hanneke, Ubink-Bontekoe Carola J M, Zoomer-Hendriks Machteld P D, Wetzels Roland B
Pleyade, Arnhem.
Ned Tijdschr Geneeskd. 2015;159:A9617.
Patients with dementia almost all have one or more symptoms of problem behaviour. This problem behaviour includes a wide range of symptoms including depression, anxiety and apathy, and behavioural problems such as aggression, general restlessness, compulsion to walk, disinhibition and calling, and psychotic disorders such as delusions and hallucinations. Due to the persistence and complexity of problem behaviour in patients with dementia, doctors often prescribe psychotropic drugs for long periods of time. In nursing homes there is a great need for non-pharmacological treatments for patients with psychological or psychiatric problems. The canopy-enclosed bed seems to meet this need and has positive effects. We observed that within a few weeks of patients getting a canopy-enclosed bed, psychotropic drugs could be reduced or even stopped. Using a canopy-enclosed bed is a measure of restraint. Therefore it remains important to carefully trade off its deployment with the intended goal.
痴呆症患者几乎都有一个或多个问题行为症状。这种问题行为包括一系列症状，如抑郁、焦虑和冷漠，以及行为问题，如攻击行为、普遍的坐立不安、强迫行走、脱抑制和呼叫，还有精神障碍，如妄想和幻觉。由于痴呆症患者问题行为的持续性和复杂性，医生经常长期开精神药物。在养老院，对于有心理或精神问题的患者非常需要非药物治疗。带顶篷的床似乎满足了这一需求并产生了积极效果。我们观察到，在患者使用带顶篷的床几周内，精神药物可以减少甚至停用。使用带顶篷的床是一种约束措施。因此，仔细权衡其使用与预期目标仍然很重要。
