痴呆患者激越行为的调查研究

A study of agitation in dementia elders

目的 研究痴呆患者激越行为的发生情况。方法 用问卷法调查 72例居家和 65例老人院痴呆患者。结果 两组痴呆患者激越行为发生率分别为 86 1 %和 90 8% ,主要表现为反复问问题、骂人、不恰当地处理物品、藏东西、徘徊等 ;其中不恰当地处理物品、身体攻击及徘徊的发生率老人院痴呆患者与居家痴呆患者间差异有显著性意义 ,而居家痴呆患者藏东西的发生率与老人院痴呆患者间差异有显著性意义 ;某些激越行为在中重度痴呆患者更多见 ,还与日常生活能力受损明显相关。结论 激越行为在痴呆患者中普遍存在 ,表现多样 ,可结合不同场所、不同程度痴呆患者激越行为的特点进行相应的护理干预 。

Objective To investigate the prevalence and characteristics of agitation in dementia patients.Methods Data were collected from 72 community patients and 65 nursing home patients who were diagnosed as dementia using questionnaire.Results 86 1% and 90 8% of the patients manifested agitation.The most frequently exhibited agitated behaviors were repetitive questions,cursing,handling things inappropriately,hiding things and wandering.In nursing home patients,behaviors such as handling things inappropriately,physical aggression and wandering were more prevalent.While hiding things was relatively more prevalent in community patients.Some types of agitation were more prevalent in those with more severe dementia.Agitation was also significantly correlated with ADL impairment.Conclusion Agitation is a common manifestation and has different characteristics in dementia patients.In order to reduce the frequency of agitation,caregivers should develop different nursing interventions according to the characteristics of agitation in different settings and dementia stages.