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Skillander i effekter mellan farmakolgoisk- och ickefarmakologisk behandling av agitation och aggression bland personer med BPSD vid demenssjukdom: - En litteraturstudie
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Difference in effects between pharmacolagical and non-pharamcological treatment of agitation and aggression among people with BPSD in dementia : - A literture study (English)
Abstract [sv]

Bakgrund: År 2000 fanns det 25 miljoner människor med demenssjukdom världen över. Denna siffra förväntas öka och år 2030 förväntas det finnas ca 63 miljoner människor med demenssjukdom varav majoriteten finns i utvecklingsländer. Det finns cirka 160 000 personer med demenssjukdom i Sverige. 48%-82% av de som lever på äldreboende visar symtom på aggression. Demenssjukdom påverkar flera aspekter av livet och det finns idag endast behandling som lindrar symtom, därav är det av vikt att anpassa omvårdnaden till individen och hens intressen och behov. BPSD definieras som tecken och symtom på störd perception, stört tankeinnehåll, förändrat stämningsläge och beteende som ofta förekommer hos patienter med demenssjukdom. För behandling av BPSD finns det både icke-farmakologiska interventioner och farmakologiska interventioner att tillgå. Socialstyrelsen rekommenderar icke-farmakologiska alternativ före farmakologisk behandling. Syfte: Syftet med studien var att undersöka skillnader i effekter mellan farmakologisk och icke-farmakologisk behandling av agitation och aggression bland personer med BPSD.Metod: Litteraturstudien innehåller 11 artiklar med kvantitativ ansats. Databaser som använts vid sökning av artiklar till resultatet är CINAHL och PubMed. Resultat: Resultatet visar att såväl icke-farmakologisk behandling som farmakologisk behandling har effekt på symtomen agitation och aggression. Konklusion: Litteraturstudien visade att icke-farmakologisk behandling kan främja ett personcentrerat förhållningssätt. Detta kan stärka individens välmående, bidra till respekt och integritet hos individen samt att det kan främja relationen mellan vårdtagare och vårdgivare. Det bör dock göras fler studier på ämnet som studerar en större population. Nyckelord: Farmakologisk behandling, icke-farmakologisk behandling, demenssjukdom, BPSD, aggression, agitation.

Abstract [en]

Background: In 2000, there were 25 million people with dementia worldwide. This figure is expected to increase and by 2030, there are expected to be 63 million people with dementia, most of which are in developing countries. There are approximately 160 000 people with dementia in Sweden. 48% -82% of those living in elderly homes show symptoms of aggression. Dementia affects several aspects of life, today there is only treatment that relieves symptoms, hence it is important to adapt the nursing to the individual and its interests and needs. BPSD is defined as signs of symptoms of disturbed perception, disturbed thought content, altered mood and behavior that often occur in patients with dementia. For treatment of BPSD, there are both nonpharmacological interventions and pharmacological interventions available. The National Board of Health recommends non-pharmacological before pharmacological treatment. Aim: The purpose of the study was to investigate differences in effects between pharmacological and non-pharmacological treatment of agitation and aggression among people with BPSD. Method: The literature study contains 11 articles with quantitative approach. Databases used to search articles for the result are CINAHL and PubMed. Results: The result shows that both non-pharmacological treatment and pharmacological treatment has an effect on symptoms of agitation and aggression. Conclusion: The literature study showed that non-pharmacological treatment can promote a person-centered approach. This can strengthen the wellbeing of the individual, contribute to the respect and integrity of the individual, and that it can promote the relationship between healthcare providers and caregivers. Nevertheless, more studies should be done on the subject studying a larger population. Keywords: Pharmacological treatment, non-pharmacological treatment, dementia, BPSD, aggression, agitation.

Place, publisher, year, edition, pages
2018. , p. 41
Keywords [en]
Pharmacological treatment, non-pharmacological treatment, dementia, BPSD, aggression, agitation.
Keywords [sv]
Farmakologisk behandling, icke-farmakologisk behandling, demenssjukdom, BPSD, aggression, agitation.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-145290OAI: oai:DiVA.org:umu-145290DiVA, id: diva2:1185993
Educational program
Nursing Programme
Supervisors
Examiners
Available from: 2018-03-12 Created: 2018-02-27 Last updated: 2018-03-12Bibliographically approved

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