AGITATED BEHAVIORS IN THE ELDERLY .2. PRELIMINARY-RESULTS IN THE COGNITIVELY DETERIORATED
AGITATED BEHAVIORS IN THE ELDERLY .2. PRELIMINARY-RESULTS IN THE COGNITIVELY DETERIORATED
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DOI：
10.1111/j.1532-5415.1986.tb04303.x
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发表时间：
1986-10-01
影响因子：
6.3
通讯作者：
COHENMANSFIELD, J
中科院分区：
文献类型：
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作者：
COHENMANSFIELD, J
研究了66个疗养院居民从两个护理单位激动，认知恶化的老年人。护理之家的工作人员使用七点频率评定量表记录各种激动行为的表现的发生频率。此外，还监测了年龄、认知水平、日常生活活动（ADL）功能、夜间醒来频率和药物治疗躁动的因素，并报告了护士对每个人躁动的归因。结果表明：（1）焦虑行为之间存在密切的相关性;（2）特定的非攻击性行为，如踱步和持续的注意请求，发生频率最高;（3）在这个非常焦虑和认知恶化的群体中，焦虑个体在年龄、认知水平和夜间醒来方面与非焦虑个体没有差异; 4）与非激动的人相比，激动的人接受了更多的激动药物，并且有更高的福尔斯发生率; 5）最常见的激动药物是硫利达嗪和氟哌啶醇。该研究被视为理解激越现象的初步努力。结果作为未来研究的指标，并展示了广泛的影响，研究处理和预防躁动以及安置和报销方面的政策规划。
Agitation was studied in 66 nursing home residents from two nursing units for agitated, cognitively deteriorated elderly. The frequency of occurrence of manifestations of various agitated behaviors was documented by nursing home staff using a seven-point frequency rating scale. Additionally, the factors of age, cognitive level, activities of daily living (ADL) functioning, frequency of waking up at night, and medication for agitation were monitored, and nurses'' attributions for agitation in each individual were reported. Results indicated that: 1) agitated behaviors were strongly interrelated; 2) specific nonaggressive behaviors, such as pacing and constant request for attention, occurred most frequently; 3) in this very agitated and cognitively deteriorated group, agitated individuals did not differ from nonagitated persons in age, cognitive level, and waking up at night; 4) agitated individuals received more medication for agitation and had a higher incidence of falls as compared with nonagitated people; and 5) the most frequent medications given for agitation were thioridazine and haloperidol. The study is viewed as a preliminary effort to understand the phenomenon of agitation. Results serve as indicators for future research and demonstrate the widespread implications of research for handling and preventing agitation as well as for policy planning with regard to placement and reimbursement.