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Prevalentie van probleemgedrag bij een groep dementerende verpleeghuispatiënten

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Tijdschrift Gerontologie en Geriatrie

samenvatting

Behavioural problems in dementia are a burden for patients and caregivers and are often the main reason for admission to a nursing home. Research on the prevalence of behavioural problems is scarce. In this study the prevalence of behavioural problems was estimated in nursing home patients with dementia. In 59 demented patients the Neuropsychiatric Inventory (NPI-NH) and the Cohen-Mansfield Agitation Inventory were used to measure behavioural problems over the last two weeks. Behavioural problems were present in about 85% of the study group. Using the NPI-NH aggression/agitation and apathy were present in almost 40% of the patients. Delusions, hallucinations, depression and anxiety were present in 10-15% of the patients. Using the CMAI cursing/verbal aggression, restlessness, complaining, negativism, and mannerisms were prevalent in 30%-50% of the patients. Larger studies on the prevalence of problem behaviour and possibly influencing factors are necessary.

Samenvatting

Probleemgedrag bij dementie is belastend voor patiënt en partner en is vaak de reden voor opname in een verpleeghuis. Onderzoek naar prevalentie van probleemgedrag is schaars. In dit onderzoek werd bepaald hoe vaak probleemgedrag bij dementerende verpleeghuis patiënten voorkomt. Bij 59 patiënten met dementie in twee Nederlandse verpleeghuizen werd de Neuropsychiatrische Vragenlijst (NPI-NH) en de Cohen-Mansfield Agitatie Vragenlijst (CMAI) gebruikt om het probleemgedrag over de afgelopen twee weken in kaart te brengen. Probleemgedrag kwam bij ongeveer 85% van de onderzochte groep voor. Gemeten met de NPI-NH bleken agressie/agitatie en apathie bij bijna 40% van de patiënten voor te komen . Wanen, hallucinaties, depressie en angst kwamen bij 10-15% van de patiënten voor . Gemeten met de CMAI kwamen vloeken/verbale agressie, algemene rusteloosheid, klagen, negativisme en herhaalde gedragingen bij 30-50% van de patiënten voor. Grootschaliger onderzoek naar de prevalentie van probleemgedrag en de mogelijk van invloed zijnde factoren is nodig.

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Authors and Affiliations

  1. www.bsl.nl/shop/tijdschrift-voor-gerontologie-en-geriatrie-0167-9228.html

    S. U. Zuidema

Authors
  1. S. U. Zuidema
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  2. M. M. van der Meer
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  3. G. A. T. C. Pennings
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  4. R. T. C. M. Koopmans
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Correspondence to S. U. Zuidema.

Additional information

Verpleeghuisarts-onderzoeker, Stichting Kalorama, Beek-Ubbergen en afdeling Verpleeghuisgeneeskunde UMC St Radboud, Nijmegen

Verpleeghuisarts, Orbis medisch- en zorgconcern, Divisie V & V Sittard

Hoogleraar afdeling Verpleeghuisgeneeskunde UMC St Radboud, Nijmegen

Correspondentie: Sytse Zuidema, afdeling Verpleeghuisgeneeskunde UMC St Radboud, 117 VPHG, Postbus 9101, 6500 HB Nijmegen, 024-3618834,

Verpleeghuis Leontine, Stichting Gezondheidszorg Oostelijk Zuid-Limburg, Amstenrade

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Zuidema, S.U., van der Meer, M.M., Pennings, G.A.T.C. et al. Prevalentie van probleemgedrag bij een groep dementerende verpleeghuispatiënten. GEEG 37, 18–23 (2006). https://doi.org/10.1007/BF03074757

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