[在痴呆中徘徊]。

Denise Strubel, Mariana Corti
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引用次数: 9

摘要

流浪是痴呆患者常见的行为障碍。然而,它仍然定义不清,研究不足。它的特点是反复的、长时间的、有时是强迫性的行走需要,有目标或没有目标。在机构研究对象和阿尔茨海默病患者中,其频率随着痴呆症的严重程度而增加。这可能会给病人带来严重的后果,他们可能会迷路,变得疲惫不堪,遭受创伤。这也给病人家属和护理人员带来了负担,特别是在逃跑的情况下。可能会有多种假设来解释这种症状,从职业或自动活动到最终活动,铭刻在受试者的精神生活中。不规范的治疗有时需要药物(低剂量抗精神病药物的适度效果),但主要是基于多种多样的非药物方法。不幸的是,这些都没有得到充分的评估。需要更多的研究来更好地定义流浪,并改进对流浪的分析、理解和对流浪的照顾的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Wandering in dementia].

Wandering is a frequent behavior disorder in demented patients. However, it remains ill defined and insufficiently studied. It is characterized by repeated, prolonged and sometimes compulsive need to walk, with or without aim. Its frequency increases with the severity of dementia among institutionalized subjects and Alzheimer's disease patients. It may result in severe consequences for the patient who may get lost, become exhausted and suffer from traumas. It also represents a burden for patient's family and care providers, especially in case of running away. Multiple hypotheses may be formulated to explain this symptom, going from an occupational or automatic activity to a finalized activity, inscribed into the subject's mental life. The badly codified treatment requires sometimes medications (modest effect of low-doses antipsychotic drugs), but it is mainly based on varied and multiple non-medicinal approaches. Unfortunately, these ones are insufficiently assessed. More studies are needed to bring out a better definition of wandering, and improve its analysis, comprehension and the assessment of its caring.

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