The demented elder with insomnia
The demented elder with insomnia
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DOI：
10.1016/j.cger.2007.08.010
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发表时间：
2008-02-01
影响因子：
3.3
通讯作者：
Paniagua, Elizabeth W.
中科院分区：
文献类型：
--
作者：
Paniagua, Miguel A.;Paniagua, Elizabeth W.
老年痴呆症患者普遍存在睡眠紊乱，表现为躁动、睡眠呼吸紊乱或白天过度打盹。在评估和治疗患有失眠症的老年痴呆患者时，还必须考虑更广泛的背景问题，如护理人员和工作人员，以及患者居住的环境。老年痴呆伴失眠的治疗方法是困难的，很大程度上是基于临床经验，而不是广泛的证据基础。在开始药物治疗试验之前，采用“越少越好”的方法尝试非药物干预是最佳的第一步。
Elders with dementia experience a high prevalence of disordered sleep that can present as agitation, sleep-disordered breathing, or excessive daytime napping. One must also consider broader contextual issues in the evaluation and treatment of the demented elder with insomnia, such as the caregiver and staff, as well as the setting in which the patient resides. The treatment approach to the demented elder with insomnia is difficult and largely based on clinical experience rather than a broad evidence base. Using a "less is better" approach in attempting nonpharmacologic interventions before initiating a trial of drug therapy is the optimal first step.