Program for Positive Aging, Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.
Program for Positive Aging, Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA; Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI 48105, USA.
Clin Geriatr Med. 2020 May;36(2):315-327. doi: 10.1016/j.cger.2019.11.010.
Behavioral and psychological symptoms of dementia (BPSD) are universally experienced by people with dementia throughout the course of the illness and cause a significant negative impact on quality of life for patients and caregivers. Nonpharmacologic treatments have been recommended as first-line treatment of BPSD by multiple professional organizations and should target patients with dementia factors, caregiver factors, and environmental factors. Psychotropic medications are often prescribed off-label without significant evidence to support their use. The Describe, Investigate, Create, Evaluate approach can provide a structured method to investigate and treat BPSD with flexibility to use in multiple treatment settings.
痴呆的行为和心理症状（BPSD）是痴呆患者在整个病程中普遍经历的，并对患者和护理人员的生活质量产生重大负面影响。多个专业组织建议将非药物治疗作为 BPSD 的一线治疗方法，应针对痴呆患者的因素、护理人员的因素和环境因素。精神药物经常被开出处方，而没有支持其使用的大量证据。描述、调查、创建、评估方法可以提供一种结构化的方法来调查和治疗 BPSD，并具有在多种治疗环境中使用的灵活性。
