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題 名 | 併有攻擊行為之癡呆症患者的探討 |
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作 者 | 蔡世仁; 黃正平; 楊誠弘; 劉金明; | 書刊名 | 長庚醫學 |
卷 期 | 18:4 1995.12[民84.12] |
頁 次 | 頁361-364 |
分類號 | 415.9341 |
關鍵詞 | 攻擊行為; 妄想; 癡呆症; 幻覺; 錯認; Aggressive behaviors; Delusion; Dementia; Hallucination; Misidentification; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來癡呆症患者的精神症狀研究漸受重視,其中攻擊行為常造成照顧上的困擾及身體的傷害。本文以91位精神科住院癡呆症患者作研究,除個人基本資料,並評估精神症狀、行為問題及認知功能,並分析與攻擊行為(aggressive behaviors)的關係。結果發現其中49位(53.8%)患者有攻擊行為,而這些患者通常年紀較大、較晚發病;有較高比例的幻覺(hallucination)、錯認(misidentification)、漫遊(wandering)。這些因素可作為危險指標,以提早預防,並且透過藥物、行為治療及照顧者的教育還可減少訝擊行為的發生,減輕照顧者的困擾,並降低患者住院治療的機會。 |
英文摘要 | Aggressive behaviors are found in dementia patients and pose major problems for their caregivers and may be amenable to treatment. The present study aims to determine the frequency of aggressive behaviors in dementia patients and to test whether there is a relationship with the psychiatric symptoms. Ninety-one dementia patients from a geriatric psychiatry unit were surveyed for the aggressive behaviors and psychiatric symptoms by semi-structured interview with the patients and their caregivers. Major findings included that 53.8% of these patients had aggressive behaviors; these patients were older and had later onset of dementia; the presence of hallucination, misidentification and wandering were significant predicators of physical aggression; the association of aggressive behaviors with the cognitive test and delusion was not significant. These observations suggest that dementia patients have a high prevalence rate of aggressive behaviors that warrants the prevention and intervention. Hallucination, misidentification, and wandering are risk factors for physical aggression and potentially treatable. Further research is needed to identify the cause and the management of aggressive behaviors in dementia patients. |
本系統中英文摘要資訊取自各篇刊載內容。