Richtlijn Omgaan met gedragsproblemen bij patiënten met dementie
Richtlijn Omgaan met gedragsproblemen bij patiënten met dementie
Richtlijn Omgaan met gedragsproblemen bij patiënten met dementie
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Bijlage 2A Agitation (Agitatie/agressie)<br />
Intervention Source (review) Included Type dementia N Setting Outcome Outcome Level of Quality of Overall<br />
studies<br />
measure<br />
evidence* evidence effect<br />
Validation Verkaik, 2005 3 Type of dementia<br />
385 Outpatient and CMAI, subscales 1. No sig. changes<br />
2xA2 Level 1 No effect<br />
according to DSM-III-R,<br />
inpatient<br />
VAB and PAB; 2. Differs<br />
B<br />
DSM-IV, ICD-10<br />
ASEP<br />
3. No sig. changes<br />
Neal, 2003 1 Diagnosed dementia 88 Nursing home, CMAI Differs B<br />
according to ICD-10,<br />
DSM-IV or comparable<br />
criteria<br />
medical centre<br />
Bharani, 2005 2 Not specified 297 Nursing home CMAI; BIP 1. No sig. differences<br />
2. No sig. differences<br />
2xA2<br />
Psychomotor Verkaik, 2005 1 Type of dementia<br />
43 Outpatient and ASEP Sig. lower aggression A2 Level 2.2 Possibly<br />
therapy<br />
according to DSM-III-R,<br />
inpatient<br />
positive<br />
DSM-IV, ICD-10<br />
effect<br />
Light Forbes, 2004 2 Alzheimer, Lewy body, 105 Nursing home NPI; CMAI; No sig. differences 2xB Level 1 Inconclusive<br />
Vascular, DSM-III, DSM-<br />
IV, NINCDS-ADRDA, ICD-<br />
10<br />
ABRS<br />
Bharani, 2005 1 Not specified 92 Nursing home CMAI; ABRS No sig. effect A2<br />
Skjerve, 2004 7 Alzheimer, Vascular or 145 Institutional BEHAVE-AD; 1. No improvement<br />
A2<br />
other diagnoses<br />
setting, at home CMAI; ABRS; 2. Some improvement in agitation A2<br />
behaviour log; 3. Some improvement in agitation<br />
EBIC; CGI; SDAS 4. Improvement in agitation<br />
5. Improvement in agitation<br />
6. Some improvement in agitation<br />
7. Improvement in agitation<br />
5xB<br />
Aroma therapy Thorgrimsen, 1 Any type of dementia 72 Nursing home, NPI; CMAI Sig. positive effect on agitation A2 Level 2.2 Possibly<br />
2003<br />
general hospital<br />
positive<br />
ward<br />
effect<br />
Music Vink, 2003 3 Type of dementia<br />
87 Outpatient and CMAI;<br />
1. Sig. less aggression<br />
3xA2 Level 1 Positive<br />
according to DSM-IV, ICD- inpatient<br />
observation 2. Sig. less agitation<br />
effect<br />
10 or other comparable<br />
diagnostic criteria<br />
3. Less wandering<br />
Lou, 2001 7 Any type of dementia 96 Institutional Observation; 1. No sig. effect<br />
B<br />
setting, day care CMAI<br />
2. Sig. decrease in aggression<br />
3. Decrease in agitation<br />
A2<br />
4. Decrease in agitation<br />
5. Decrease in agitation<br />
5xB<br />
57
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