並列摘要
Delirium is common but hard to be detected in older persons, especially in patients with dementia. Inattention, disorganized thinking and acute changes or fluctuations in mental status are some of the typical presentations of delirium. Delirium is often multi-factorial and may be induced by a combination of factors related to patient, environment and medication. The hypotheses for the pathogenesis of delirium focus on the roles of neurotransmission, inflammation, acute stress and neuronal damage. Regular cognitive evaluation should be practiced in order to facilitate early detection and early intervention of delirium in older patients. Sometimes, delirium may lead to long-term cognitive impairment. Therefore, understanding how to prevent and manage delirium is essential for improving the quality of life in older persons.
被引用紀錄
延伸閱讀
- 楊鎮嘉、溫瓊容、詹鼎正（2014）。老人譫妄症。內科學誌，25(3)，143-150。https://doi.org/10.6314/JIMT.2014.25(3).03
- 陳旺全（2012）。老年譫妄症之診療。北台灣中醫醫學雜誌，4(2)，1-9。https://doi.org/10.30127/BTWZYYXZZ.201212.0001
- 郭旭格（2005）。老年病症候群（上）。當代醫學，(386)，962-970。https://doi.org/10.29941/MT.200512.0003
- 陳俊欽（2007）。假性老人痴呆症。健康世界，(255)，14-18。https://www.airitilibrary.com/Article/Detail?DocID=16077059-200703-x-255-14-18-a
- 陳怡亨、林麗嬋（2008）。Pain in Elderly People with Dementia。護理雜誌，55(2)，68-75。https://doi.org/10.6224/JN.55.2.68