Hüsken Johann-Moritz, Halek Margareta, Holle Daniela, Dichter Martin N
Institut für Gesundheits- und Pflegewissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
Deutsches Institut für angewandte Pflegeforschung e.V. (DIP), Köln, Deutschland.
Pflege. 2024 Jun;37(3):119-129. doi: 10.1024/1012-5302/a000948. Epub 2023 Jul 6.
Prevalence of neuropsychiatric symptoms of people with dementia in long-term care units: A secondary analysis In a progress of dementia, most people develop neuropsychiatric symptoms. However, there is little knowledge about the prevalence of these symptoms and their specific characteristics in long-term care. A differentiated investigation of the prevalence and characteristics of neuropsychiatric symptoms in people with dementia in a long-term care setting. The prevalence of neuropsychiatric symptoms of people with dementia in a long-term care setting was examined using a secondary analysis of cross-sectional data from the research projects LebenQD I and II and FallDem. The data were collected using the neuropsychiatric inventory - nursing home version. The analysis included data from 699 people with dementia from a total of 21 long-term care facilities in North Rhine-Westphalia. The symptoms agitation/aggression (36%), depression/dysphoria (33%), apathy/indifference (33%), irritability/lability (30%) and aberrant motor behaviour show the highest prevalence. The symptoms hallucinations (9%) and euphoria/elation (6%) have the lowest prevalence. The high prevalence of specific neuropsychiatric symptoms and their characteristics in people with dementia illustrates the need for care-related or psychosocial interventions to counteract the reasons for the occurrence of the symptoms.
一项二次分析 在痴呆症进展过程中,大多数人会出现神经精神症状。然而,对于这些症状在长期护理中的患病率及其具体特征知之甚少。 对长期护理环境中痴呆症患者神经精神症状的患病率和特征进行差异化调查。 通过对研究项目LebenQD I和II以及FallDem的横断面数据进行二次分析,研究了长期护理机构中痴呆症患者神经精神症状的患病率。数据采用神经精神科问卷——疗养院版进行收集。分析纳入了来自北莱茵-威斯特法伦州21家长期护理机构的699名痴呆症患者的数据。 激越/攻击行为(36%)、抑郁/烦躁不安(33%)、冷漠/无动于衷(33%)、易激惹/情绪不稳定(30%)和异常运动行为的患病率最高。幻觉(9%)和欣快/兴高采烈(6%)的患病率最低。 痴呆症患者中特定神经精神症状的高患病率及其特征表明,需要采取与护理相关或心理社会干预措施来消除症状发生的原因。