痴呆患者行为和精神症状的相关因素

发布时间：2018-05-10 08:22

本文选题：痴呆 + 行为和精神症状　；参考：《中国老年学杂志》2014年16期

【摘要】：目的探讨痴呆患者行为和精神症状(BPSD)的相关因素。方法采用简易智力状态检查表(MMSE)、日常生活功能量表(ADL)、Hachinski缺血指数量表和简明神经精神量表(NPI-Q)对102例痴呆患者进行测评。结果 1痴呆患者的妄想、幻觉、抑郁、焦虑、易激惹症状评分与MMSE量表总分、ADL量表总分有显著相关(P0.05),妄想症状评分与病程呈负相关(P0.05),行为紊乱评分与病程呈正相关(P0.05);NPI-Q量表总分与MMSE量表总分、ADL量表总分有显著相关(P0.05),与病程的无显著相关;2女性阿尔茨海默病(AD)组的抑郁症状评分显著高于男性AD组(P0.05),女性AD组的妄想、幻觉症状评分和量表总分显著高于男性血管性痴呆组(P0.05);3回归分析MMSE评分和痴呆类型进入回归方程。结论痴呆患者BPSD的发生及表现出的严重程度,受到较多因素的影响。认知功能水平相对较好和痴呆类型为AD的患者,总体上BPSD更为严重。
[Abstract]:Objective to investigate the related factors of BPSD in patients with dementia. Methods 102 patients with dementia were assessed with MMSE, ADL Hachinski Ischemia Index scale and brief Neuropsychiatric scale (NPI-Q). Results 1 delusions, hallucinations, depression, anxiety in patients with dementia, The score of irritable symptoms was significantly correlated with the total score of MMSE scale and the total score of ADL scale, the score of delusional symptom was negatively correlated with the course of disease (P 0.05), and the score of behavioral disorder was positively correlated with the total score of MMSE scale and the total score of MMSE scale. The scores of depression in AD group were significantly higher than that in male AD group (P 0.05), and the delusion in female AD group was significantly higher than that in male AD group. The score of hallucination symptom and the total score of the scale were significantly higher than those in the male vascular dementia group by regression analysis (MMSE) and the type of dementia entered the regression equation. Conclusion the occurrence and severity of BPSD in dementia patients are affected by many factors. BPSD was more severe in patients with relatively good cognitive function and dementia type AD.
【作者单位】：云南省精神病医院老年科;
【分类号】：R749.1

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