Study Protocol: The Behaviour and Pain in Dementia Study (BePAID)
Study Protocol: The Behaviour and Pain in Dementia Study (BePAID)
复制标题
DOI：
10.1186/1471-2318-11-61
复制
发表时间：
2011-01-01
期刊：
影响因子：
4.1
通讯作者：
Sampson, Elizabeth L.
中科院分区：
文献类型：
--
作者：
Scott, Sharon;Jones, Louise;Sampson, Elizabeth L.
背景资料：入住急性医院的痴呆症患者通常接受质量较差的护理，特别是在痴呆症（BPSD）和疼痛的行为和精神症状的管理方面。有没有英国研究的患病率和类型的疼痛或BPSD在痴呆症患者在这种情况下，或如何这些可能会影响患者，护理人员，工作人员和costs.Methods/设计：我们将招募老年人与痴呆症谁有计划外的急性医疗入院和测量的患病率BPSD使用的行为-AD（行为在阿尔茨海默氏病）和CMAI（科恩曼斯菲尔德躁动量表）。将通过PAINAD（晚期痴呆症疼痛评估）和FACES疼痛量表评估疼痛患病率和严重程度。然后，我们将分析这些影响的各种结果和测试的假设，即管理不善的疼痛与恶化的BPSD.Discussion：通过展示的成本BPSD的个人与痴呆症和健康服务，这项研究将提供重要的证据，推动改善护理。然后，我们可以为急性医院工作人员和BPSD在这种情况下的替代治疗策略制定有效的培训。
Background: People with dementia admitted to the acute hospital often receive poor quality care particularly with regards to management of behavioural and psychiatric symptoms of dementia (BPSD) and of pain. There have been no UK studies on the prevalence and type of pain or BPSD in people with dementia in this setting, or on how these may impact on patients, carers, staff and costs of care.Methods/Design: We shall recruit older people with dementia who have unplanned acute medical admissions and measure the prevalence of BPSD using the Behave-AD (Behaviour in Alzheimer's Disease) and the CMAI (Cohen Mansfield Agitation Inventory). Pain prevalence and severity will be assessed by the PAINAD (Pain Assessment in Advanced Dementia) and the FACES pain scale. We will then analyse how these impact on a variety of outcomes and test the hypothesis that poor management of pain is associated with worsening of BPSD.Discussion: By demonstrating the costs of BPSD to individuals with dementia and the health service this study will provide important evidence to drive improvements in care. We can then develop effective training for acute hospital staff and alternative treatment strategies for BPSD in this setting.