Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, the Netherlands; Nursing Home Markenhof, Atlant, Beekbergen, the Netherlands.
Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, the Netherlands.
J Am Med Dir Assoc. 2018 Mar;19(3):240-247. doi: 10.1016/j.jamda.2017.09.013. Epub 2017 Nov 1.
Caring for people with Korsakoff syndrome (KS) residing in specialized long-term care facilities (LTCFs) can be distressing because of challenging neuropsychiatric symptoms (NPS). However, good-quality studies on NPS in this under-researched population are lacking. This study examined the prevalence and severity of NPS in people with KS living in specialized LTCFs and the associated caregiver distress.
Cross-sectional, observational study. Data were obtained using structured interviews with care staff, elderly care physicians, and residents.
Nine specialized LTCFs in the Netherlands.
KS residents admitted for at least 3 months.
The prevalence and severity of NPS were measured with the Neuropsychiatric Inventory-Questionnaire (NPI-Q). The associated caregiver distress was assessed with the NPI Distress Scale (NPI-D) according to the nurse or nurse assistant.
Almost all of the 281 residents (96.4%) showed at least 1 NPS and 45.8% showed 5 or more symptoms. Irritability/lability (68.3%), agitation/aggression (58.7%), and disinhibition (52.7%) were most prevalent. Although the mean level of severity for all NPS was relatively low, half of the residents (49.1%) had at least 1 severe NPS. Care staff experienced low levels of distress associated with NPS.
NPS are highly prevalent in KS residents. Unexpectedly, these did not have any severe impact on residents and care staff. Acquiring more insight into the persistence and course of NPS, and its associations, among KS residents is important to better understand and reduce these symptoms and, ultimately, improve the quality of care for these residents.
由于具有挑战性的神经精神症状（NPS），照顾居住在专门的长期护理机构（LTCF）中的柯萨科夫综合征（KS）患者可能会令人痛苦。然而，针对这一研究较少的人群中 NPS 的高质量研究却很少。本研究调查了居住在专门的 LTCF 中的 KS 患者中 NPS 的患病率和严重程度，以及相关的护理人员痛苦。
横断面，观察性研究。数据是通过与护理人员，老年护理医生和居民进行的结构化访谈获得的。
荷兰的 9 个专门的 LTCF。
KS 居民至少入住 3 个月。
使用神经精神病学问卷（NPI-Q）测量 NPS 的患病率和严重程度。根据护士或护士助理，使用 NPI 困扰量表（NPI-D）评估相关的护理人员困扰。
几乎所有 281 名居民（96.4％）都出现了至少 1 种 NPS，而 45.8％的居民出现了 5 种或更多症状。最常见的是易激惹/不稳定（68.3％），激越/攻击（58.7％）和失抑制（52.7％）。尽管所有 NPS 的平均严重程度相对较低，但仍有一半（49.1％）的居民至少有 1 种严重 NPS。护理人员与 NPS 相关的困扰程度较低。
KS 患者中 NPS 的患病率很高。出乎意料的是，这些对居民和护理人员没有任何严重影响。更深入地了解 KS 患者中 NPS 的持续性和病程及其关联，对于更好地理解和减轻这些症状以及最终提高这些患者的护理质量非常重要。
