老年痴呆症患者精神行为症状现状调查及影响因素分析

Status Survey and Influencing Factors Analysis of Mental Behavioral Symptoms of Patients with Alzheimer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

华中科技大学协和深圳医院 ;

摘要
【摘要】调查老年痴呆症患者精神行为症状现状及影响因素。方法 选择2017年1月-2019年12月我院70例老年痴呆症患者为研究对象,采用神经精神科问卷知情版量表(NPI-Q)评估精神行为症状,并以NPI-Q评分为因变量,调查病情程度、年龄、婚姻等资料并作为自变量进行多元线性回归分析,调查老年痴呆症患者精神行为症状的影响因素。结果 70例患者有62例存在精神行为症状,发生率88.57%,出现频率前三位为睡眠/夜间行为、妄想以及幻觉;不同病情程度、婚姻情况、有无门禁、生活自理情况、睡眠障碍、有无子女、年龄NPI-Q评分差异具有统计学意义(P<0.05),不同性别、文化程度NPI-Q评分差异无统计学意义(P>0.05);多元线性回归分析显示,病情程度、婚姻情况、有无门禁、生活自理情况、睡眠障碍是老年痴呆症患者精神行为症状的影响因素。结论 绝大多数老年痴呆症患者存在精神行为症状,以睡眠/夜间行为、妄想以及幻觉为主,其严重程度受到病情、婚姻、门禁、生活自理、睡眠等因素的影响。
Abstract
[Abstract] Objective To investigate the Status and Influencing Factors of mental behavioral symptoms of patients with Alzheimer. Methods Seventy patients with Alzheimer in our hospital from January 2017 to December 2019 were selected as the research object. Mental behavior symptoms were evaluated using the neuropsychiatric questionnaire informed version scale (NPI-Q). The NPI-Q score was used as the dependent variable to investigate the severity, age, marriage and other data and used multiple linear regression analysis as the independent variable to investigate the influencing factors of mental and behavioral symptoms in Alzheimers patients. Results Of the 70 patients, 62 had psycho-behavioral symptoms, with an incidence rate of 88.57%. The top three frequencies were sleep / nocturnal behavior, delusions, and hallucinations; different degrees of illness, marital status, access control, self-care conditions, sleep disorders, and Differences in NPI-Q scores of children and age were statistically significant (P<0.05), and differences in NPI-Q scores of different genders and education levels were not statistically significant (P>0.05); multiple linear regression analysis showed that the degree of illness and marital status , with or without access control, self-care, and sleep disturbance are the influencing factors of mental and behavioral symptoms of Alzheimers patients. Conclusion The vast majority of Alzheimers patients have mental and behavioral symptoms, mainly sleep / nighttime behavior, delusions, and hallucinations, the severity of which is affected by factors such as illness, marriage, access control, self-care, and sleep.
关键词
关键词 老年痴呆症;精神行为症状;影响因素
KeyWord
Key words Alzheimers Disease; Mental and Behavioral Symptoms; Influencing Factors
基金项目
页码 740-742
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蔡梁凌*. 老年痴呆症患者精神行为症状现状调查及影响因素分析 [J]. 国际精神病学杂志. 2020; 47; (4). 740 - 742.

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