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居家和养老院阿尔茨海默病患者精神行为症状的比较分析 被引量:4

Comparative analysis in psychological and behavioral symptom of patients with Alzheimer's disease in home and resthome
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摘要 目的了解居住环境对阿尔茨海默病(Alzheimer’s disease,AD)患者精神行为症状的影响。方法采用神经精神量表分别调查100例居家及100例养老院阿尔茨海默病患者的精神行为症状,运用SPSS13.0统计软件包对收集的数据进行统计分析。结果养老院患者的“幻觉”、“焦虑”、“异常的动作行为”及“睡眠紊乱”得分及其总均分显著高于居家患者;居家与养老院的AD患者在“异常的动作行为”、“情绪淡漠/冷漠”、“幻觉”、“睡眠紊乱”、“焦虑”、“抑郁,情绪低落”及“食衡进食障碍”方面的发生程度显著不同,其中养老院患者“睡眠紊乱”中的“体质量下降”条目发生程度较轻,其余均较居家患者严重。结论处于不同环境的患者其精神行为症状的发生情况有所不同,养老院患者症状偏重,因而呼吁家属应尽量让AD患者居住家中。 Objective To understand the influene of inhabited environment on psychological and behavioral symptom of dementia (BPSD) in patients with Alzheimer's disease. Methods Neuropsychiatric inventory was used to measure the occurrence of BPSD of 100 home and 100 resthome patients with Alzheimer's disease.The data were analyzed with software SPSS version 13.0. Results The scores of hallucinations, anxiety,aberrant motor behavior and sleep disturbance in resthome patients were significant higher than those of home patients.There was significantly difference in the extent of occurrence in aberrant motor behavior,apathy/indifference, hallucinations, sleep disturbance, anxiety,depression/dysphoria and appetite/eating disorders between home and resthome patients,among which the extent of occurrence in resthome patients was higher except for body weight decreasing and appetite/eating disorders. Conclusions The occurrence of BPSD is different according to different inhabited environment, symptoms of resthome patients are worse, so families should be appealed as far as possibile to allow AD patients hying at home.
出处 《中国实用护理杂志》 北大核心 2009年第5期68-71,共4页 Chinese Journal of Practical Nursing
关键词 AD 痴呆的精神行为症状 比较 Alzheimer's disease Behavioral and psychological symptoms of dementia Comparison
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