Aggression in persons with dementia: use of nursing theory to guide clinical practice.

Aggression in persons with dementia: use of nursing theory to guide clinical practice.
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DOI:
10.1016/j.gerinurse.2008.03.001
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发表时间:
2009-01
期刊:
影响因子:
2.7
通讯作者:
Boustani, Malaz
Boustani, Malaz
中科院分区:
医学3区
文献类型:
--
作者:
Dettmore, Diane;Kolanowski, Ann;Boustani, Malaz

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今天,美国约有400万人被诊断患有痴呆症,护理人员和患者面临的最具破坏性的问题之一是应对攻击性行为。被诊断患有痴呆症的人中有一半会发生攻击行为,并且与更快的认知能力下降,虐待风险增加和照顾者负担有关。本文使用需求驱动的痴呆妥协行为(NDB)模型来解释攻击,并讨论了治疗方法,以照顾,结合非药物和药物干预,针对攻击危机的管理和防止其未来复发。为从业者提供了一个由NBD模型指导的临床算法。
With approximately four million people in the United States today diagnosed with dementia, one of the most devastating problems faced by caregivers and patients is dealing with aggressive behavior. Aggression occurs in half of persons diagnosed with dementia and is associated with more rapid cognitive decline, increased risk of abuse, and caregiver burden. This paper uses the Need-driven Dementia-compromised Behavior (NDB) model to explain aggression and discusses therapeutic approaches to care that combines non-pharmacological and pharmacological interventions targeting both the management of aggression crisis and preventing its future recurrence. A clinical algorithm guided by the NBD model is provided for practitioners.
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