Factors associated with behavioral and psychological symptoms in patients with dementia who received home medical treatment: A cross-sectional study (OHCARE study)
| Autor: | Masashi Ikushima, Michio Tamatani, Toshinori Nakamura, Toshio Fukuda, Hiromi Rakugi, Masako Akiyama, Yoshichika Baba, Yoshinari Okuda, Yoko Higami, Masahiro Nagano, Ga Ko, Kei Kamide, Mariko Yamamoto, Kana Kodama, Mai Kabayama, Eriko Kojiya, Atsushi Hirotani |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis Cross-sectional study medicine.medical_treatment 03 medical and health sciences Nursing care Insurance Long-Term Care 0302 clinical medicine Alzheimer Disease medicine Humans Dementia In patient Antipsychotic Psychiatry Aged Aged 80 and over Rehabilitation 030214 geriatrics Medical treatment business.industry medicine.disease Home Care Services Cross-Sectional Studies Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics. 56:468-477 |
| ISSN: | 0300-9173 |
| DOI: | 10.3143/geriatrics.56.468 |
| Popis: | AIM The present study investigated the behavioral and psychological symptoms of dementia (BPSD) and pharmacological therapy among elderly people with dementia who received home medical treatment. METHODS This study was part of the Osaka Home Care Registry study (OHCARE-study). Participants were >65 years old with dementia. Demographic and medical data, BPSD, and the LTCI [long-term care insurance] care-need level were collected. A multiple logistic regression analysis was performed in order to clarify the factors associated with BPSD. RESULTS Among 110 subjects (82.0±11.3 years old), 64.6% had a diagnosis of dementia, most commonly Alzheimer's dementia. Aside from home medical treatment, 58.1% had a nurse visit, 48.1% received home care, and 40.0% used a day service. The prevalence of BPSD was 53.0%. Those with BPSD most frequently had an LTCI care-need level of 3, and the prevalence of BPSD declined as the level increased after 3. Psychotropic drugs were prescribed in 61.5% of those with BPSD. Antipsychotic drugs were used significantly more frequently in those with nursing care resistance, assault and delusions than in others (all, p |
| Databáze: | OpenAIRE |
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