摘要
目的了解上海老年期痴呆患者行为和精神症状的发生情况及严重程度。方法在前期老年期痴呆现况调查的基础上,采用神经精神量表(NPI)对1271例确诊的老年期痴呆患者的行为和精神症状(BPSD)进行测评。结果 50.95%的患者近1个月内出现过不同程度的行为和精神症状,32.17%为临床显著性症状(CSD)。对照顾者影响最大的症状是妄想(2.32±1.48),其次是异常的运动行为(2.30±1.31)和幻觉(2.16±1.25)。严重程度的分级为Ⅰ级(轻度)620例、Ⅱ级(中度)238例和Ⅲ级(重度)406例。结论上海老年期痴呆患者BPSD发生率较高,老年期痴呆严重程度的分级标准需结合研究目的进行确定。
Objective To evaluate probability and severity of behavioral and psychological symptoms in dementia （BPSD） in elderly with dementia in Shanghai.Methods On the basis surveyed before,total 1271 elderly with dementia were investigated with the international neuropsychiatric inventory （NPI） to evaluate BPSD.Results The proportion of elderly with dementia that had BPSD was 50.95%,it was 32.17% for clinical significant disturbance （CSD）.The symptoms had greatest impact on the caregivers were paranoia （2.32±1.48）,followed by abnormal motor behavior （2.30±1.31） and hallucinations （2.16±1.25）.The severity rating included mild 620 cases,moderate 238 cases,and severe 406 cases.Conclusion The incidence rate of BPSD in elderly with dementia was high.The standard of severity grading should be selected with purposes.
出处
《中国康复理论与实践》
CSCD
2010年第6期516-518,共3页
Chinese Journal of Rehabilitation Theory and Practice
基金
中国残疾人联合会资助(2009)
上海市残疾人联合会研究基金(2008SHC002)
关键词
老年期痴呆
神经精神量表
行为精神症状
分析
senile dementia
Neuropsychiatric Inventory
Behavioral and Psychological Symptoms in Dementia
analysis
