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住院老年痴呆症患者身体活动与行为和心理症状的关联。

The association of physical activity and behavioral and psychological symptoms among a sample of hospitalized older adults living with dementia.

机构信息

School of Nursing, University of Maryland Baltimore, Baltimore, Maryland, USA.

School of Nursing, Penn State University, University Park, Pennsylvania, USA.

出版信息

Int J Geriatr Psychiatry. 2023 Feb;38(2):e5885. doi: 10.1002/gps.5885.

Abstract

OBJECTIVES

The aims of this study were to: (1) describe the prevalence of behavioral and psychological symptoms of dementia in hospitalized older adults living with dementia and (2) examine the association of physical activity and behavioral and psychological symptoms of dementia among hospitalized older adults living with dementia, after controlling for covariates.

METHODS

Physical activity was measured using the Physical Activity Survey and behavioral and psychological symptoms of dementia were measured using the Neuropsychiatric Inventory. Descriptive analysis and multiple linear regressions were run using baseline data on 294 older adults with dementia hospitalized on general medical units from an ongoing study entitled Function Focused Care for Acute Care Using the Evidence Integration Triangle.

RESULTS

Participants performed an average of 7.92 (SD = 4.49) of 34 possible activities "in the last 24 h" prior to the Physical Activity Survey administration. A total of 132 participants (45.5%) had at least one behavioral and psychological symptom of dementia. We found that physical activity was not associated with behavioral and psychological symptoms of dementia (b = 0.01; p = 0.56), after controlling for covariates.

CONCLUSIONS

Although this study found no evidence of an association between physical activity and behavioral and psychological symptoms of dementia, evidence of physical activity did not exacerbate these behaviors. Thus, given the benefits of physical activity, it is important to continue to encourage patients living with dementia to engage in activity.

摘要

目的

本研究旨在:(1)描述住院老年痴呆患者的行为和心理症状的发生率;(2)在控制协变量后,检查住院老年痴呆患者的身体活动与行为和心理症状之间的关联。

方法

使用身体活动调查测量身体活动,使用神经精神疾病问卷测量痴呆患者的行为和心理症状。对来自一项名为使用证据整合三角的功能聚焦急性护理的正在进行的研究中,在普通医疗单位住院的 294 名痴呆症老年人的基线数据进行描述性分析和多元线性回归。

结果

在进行身体活动调查之前的最后 24 小时内,参与者平均进行了 34 项活动中的 7.92 项(SD=4.49)。共有 132 名参与者(45.5%)至少有一种行为和心理症状的痴呆症。在控制了协变量后,我们发现身体活动与行为和心理症状的痴呆症之间没有关联(b=0.01;p=0.56)。

结论

尽管本研究没有发现身体活动与痴呆症的行为和心理症状之间存在关联的证据,但身体活动的证据并没有加剧这些行为。因此,鉴于身体活动的益处,重要的是继续鼓励患有痴呆症的患者进行活动。

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West J Nurs Res. 2023 Mar;45(3):253-261. doi: 10.1177/01939459221127587. Epub 2022 Nov 15.
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Pain in Dementia: Prevalence and Association With Neuropsychiatric Behaviors.痴呆症患者的疼痛:患病率及与神经精神行为的关系。
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