The prevalence of psychiatric symptoms and behavioral disturbances and the use of psychotropic drugs in Norwegian nursing homes

被引:284
作者
Selbaek, Geir
Kirkevold, Oyvind
Engedal, Knut
机构
[1] Innlandet Hosp Trust, Res Ctr Old Age Psychiat Res, N-2312 Ottestad, Norway
[2] Ullevaal Univ Hosp, Norwegian Ctr Dementia Res, Ullevaal, Norway
[3] Agder Univ Coll, Fac Hlth & Sports, Kristiansand, Norway
[4] Univ Oslo, Oslo, Norway
关键词
psychiatric; behavioural; dementia; nursing homes;
D O I
10.1002/gps.1749
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background Psychiatric and behavioural symptoms in dementia are associated with a range of negative outcomes, including institutional placement and the widespread use of psychotropic drugs in spite of limited evidence for their efficacy. Aims To determine the prevalence of psychiatric and behavioural symptoms and the pattern of psychotropic drug prescription in patients with various degrees of dementia. Methods A sample of 1,163 non-selected nursing home patients were assessed by means of the Neuropsychiatric Inventory, the Clinical Dementia Rating scale and Lawton's activities of daily living scale. In addition, information was collected from the patients' records. Results Dementia was found in 81% of the patients and 72% of them had clinically significant psychiatric and behavioural symptoms. The frequencies of symptoms increased with the severity of the dementia. Psychotropic medication was being prescribed to 75% of patients with dementia. There was a significant relationship between the type of drug and the symptom for which it had been dispensed. Conclusion Psychiatric and behavioural symptoms are frequent in nursing homes and the rate increases with the progression of the dementia. Systematic programmes are needed for disseminating skills and providing guidance regarding the evaluation and treatment of these symptoms in nursing homes. Copyright (c) 2006 John Wiley & Sons, Ltd.
引用
收藏
页码:843 / 849
页数:7
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