McGee S B, Orengo C A, Kunik M E, Molinari V A, Workman R H
Geropsychiatry Program, Veterans Affairs Medical Center, Houston, TX 77030, USA.
J Geriatr Psychiatry Neurol. 1997 Jan;10(1):7-10. doi: 10.1177/089198879701000102.
The authors examined the effect of hospitalization on cognitive and behavioral symptoms in delirious elderly patients with and without dementia. Forty-four (13%) of the patients admitted to a Veterans Affairs Medical Center geropsychiatric unit were diagnosed with delirium and were administered the Mini-Mental State Examination, the Hamilton Depression Rating Scale, the Brief Psychiatric Rating Scale (BPRS), the Rating Scale for Side Effects, and the Cohen-Mansfield Agitation Inventory. The total sample significantly improved on all measures. When patients with delirium were divided into subgroups with and without dementia, both subgroups improved similarly. Patients discharged to more restrictive environments improved significantly on the BPRS only.
作者研究了住院治疗对伴有或不伴有痴呆的谵妄老年患者认知和行为症状的影响。入住退伍军人事务医疗中心老年精神科病房的患者中有44名（13%）被诊断为谵妄，并接受了简易精神状态检查表、汉密尔顿抑郁量表、简明精神病评定量表（BPRS）、副作用评定量表和科恩-曼斯菲尔德激越量表的评估。所有指标上，整个样本均有显著改善。当将谵妄患者分为伴有痴呆和不伴有痴呆的亚组时，两个亚组的改善情况相似。转至限制程度更高环境的患者仅在BPRS上有显著改善。
