阿尔茨海默病患者精神行为症状发生情况及影响因素分析

Analysis of the Occurrence of Psychobehavioral Symptoms and Factors Influencing Them in Patients with Alzheimer's Disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(6)
作者
作者单位

南阳市第一人民医院

摘要
【摘要】目的 探讨阿尔茨海默病(Alzheimer , s disease,AD)患者精神行为症状(Behavior and psychological symptom of dementia,BPSD)发生情况及影响因素分析。方法 观察对象为2019年5月-2024年5月85例AD患者,通过对家属进行神经精神科问卷(Neuropsychiatric inventory questionnaire,NPI-Q)调查了解BPSD发生情况,调查年龄、性别、病程等病历资料并进行BPSD影响因素单因素分析以及多因素分析。结果 85例AD患者中,34例具有BPSD,其中1种5例,2种7例,3种及以上22例;单因素分析显示,是否发生BPSD的AD患者年龄、居住情况、睡眠障碍、严重程度、病程、脑白质高信号、居住地、糖尿病、高血压等资料具有显著性差异,(P<0.05),高血脂、性别、学历、婚姻无显著性差异,(P>0.05);多因素分析显示,年龄>80岁、独居、睡眠障碍、脑白质重度高信号、重度AD是AD患者BPSD的影响因素。结论 BPSD 在AD患者中较为常见,高龄、独居等会增加BPSD发生风险,临床应重视高危患者BPSD的防治。
Abstract
[Abstract] Objective To investigate the occurrence of Behavior and psychological symptom of dementia (BPSD) in patients with Alzheimer, s disease (AD) and the analysis of factors affecting it. Methods Eighty-five AD patients from May 2019 to May 2024The observation subjects were. The occurrence of BPSD was known by administering the Neuropsychiatric inventory questionnaire (NPI-Q) to the family members. Medical records such as age, gender, and duration of disease were investigated and a univariate analysis of factors affecting BPSD as well as a multifactorial analysis were performed. Results Of the 85 AD patients, 34 had BPSD, including 5 with 1 type, 7 with 2 types, and 22 with 3 or more types. Univariate analysis showed that there was a significant difference in the information of age, residence, sleep disorder, severity, duration of disease, cerebral white matter high signal, place of residence, diabetes mellitus, and hypertension in AD patients with or without BPSD (P<0.05). There was no significant difference in hyperlipidemia, gender, education, and marriage (P>0.05). Multifactorial analysis showed that age >80 years, living alone, sleep disorders, severe white matter high signal, and severe AD were the influencing factors of BPSD in AD patients. Conclusion BPSD is more common in AD patients, and advanced age and living alone increase the risk of BPSD, so clinical attention should be paid to the prevention and treatment of BPSD in high-risk patients.
关键词
关键词:阿尔茨海默病;精神行为症状;影响因素
KeyWord
Key words Alzheimer's Disease; Psychobehavioral Symptoms; Influencing Factors
基金项目
页码 1831-1835
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李坷. 阿尔茨海默病患者精神行为症状发生情况及影响因素分析 [J]. 国际精神病学杂志. 2024; 51; (6). 1831 - 1835.

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