[痴呆中激越的多义性]

[Polysemy of agitation in dementia].

作者信息

Schuster Jean-Pierre, Santos Zita, Von Gunten Armin

机构信息

Service universitaire de psychiatrie et psychothérapie de l'âge avancé, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Infirmière, Service universitaire de psychiatrie et psychothérapie de l'âge avancé, Centre hospitalier universitaire vaudois, 1011 Lausanne.

出版信息

Rev Med Suisse. 2023 Mar 1;19(816):426-429. doi: 10.53738/REVMED.2023.19.816.426.

DOI:10.53738/REVMED.2023.19.816.426

PMID:36876394

Abstract

Agitation is a common feature in people with dementia. Agitation can be the clinical expression of a medical condition comorbid with dementia or a behavioural and psychological symptom of dementia. In both cases, it is a clinical manifestation and not a disease in itself. This polysemy of agitation invites us to think of a global care of the demented subject taking into account the subject in his environment and their history. Reducing the treatment of agitation to sedating it amounts to a reification of the demented subject.

摘要

激越在痴呆患者中很常见。激越是与痴呆共病的一种疾病状况的临床表型，或者是痴呆的行为和心理症状。在这两种情况下，它都是一种临床表现，而非一种疾病本身。激越的这种一词多义促使我们考虑对痴呆患者进行全面护理，将患者置于其所处环境及个人病史中综合考量。将激越的治疗简化为镇静相当于将痴呆患者物化。