YAŞLILARDA DELİRYUM, DEMANS VE DEPRESYON; DEĞERLENDİRME VE BAKIM
Notice bibliographique
Résumé
Başlık: YAŞLILARDA DELİRYUM, DEMANS VE DEPRESYON; DEĞERLENDİRME VE BAKIMTitle: DELIRIUM, DEMENTIA, AND DEPRESSION INOLDER ADULTS: ASSESSMENT AND CAREÖzet: Yaşlıbireylerde deliryum, demans ve depresyonun görülmesi oldukça yaygın birdurumdur. Deliryum, demans veya depresyona sahip olmak kişinin diğerdurumlardan birisini geliştirme riskini artırabilir, var olan bir durumukötüleştirebilir veya diğer koşullardan birinin sonucu olabilir. Buhastalıkların yaşlı bireylerde erken tanılanması, değerlendirilmesi ve bakımıdeliryum, demans ve depresyonun yönetimi için önemlidir.Buderleme yaşlılarda deliryum, demans ve depresyonun değerlendirilmesi vebakımında kanıt temelli yaklaşımları vurgulamak amacıyla yapılmıştır. Abstract: Itis common for elderly people to have delirium, dementia and depression. Having delirium, dementia, or depression can increase aperson’s risk of developing one of the other conditions, can exacerbate anexisting condition, or can be a consequence of one of the other conditions.Early diagnosis, evaluation and care of these diseases in elderly people isimportant for the management of delirium, dementia and depression.Thisreview emphasizes evidence-based approaches to the evaluation and care ofdelirium, dementia and depression in the elderly.Anahtar kelimeler: Yaşlılık, deliryum, demans, depresyonKeywords: Elderly, delirium, dementia, depression.Destekleyen kurumlar: -Kaynakça: AlzheimerSociety of Canada. (2015b). Other dementias. http://www.alzheimer.ca/en/About-dementia/Dementias (Erişimtarihi: 06.07.2017) American Medical Directors Association.(2011). Depression in the long-termcare setting. Columbia.Beğer T,Yavuzer H. (2012) Yaşlılık ve Yaşlılık Epidemiyolojisi. Klinik Gelişim. 25:1-3.Brodaty, H,Arasaratnam, C. (2012). Meta-analysis of nonpharmacological interventions forneuropsychiatric symptoms of dementia. TheAmerican Journal of Psychiatry, 169(9), 946–953. Canadian Psychological Association. (2015). “Psychology works” fact sheet: Depressionamongseniors.http://www.cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_DepressionAmongSeniors.pdf(Erişim tarihi:06.07.2017) Development Group of the Clinical PracticeGuideline on the Comprehensive Care of People with Alzheimer’s Disease andOther Dementias. (2010). ClinicalPractice Guideline on the comprehensive care of people with Alzheimer’s diseaseand other dementias. http://www.guiasalud.es/GPC/GPC_484_Alzheimer_AIAQS_comp_eng.Pdf (Erişim tarihi:06.07.2017) Dreizler,J., Koppitz, A., Probst, S., & Mahrer-Imhof, R. (2014). Including nurses incare models for older people with mild to moderate depression: An integrativereview. Journal of Clinical Nursing,23(7-8), 911–926.Enmarker,I., Olsen, R., & Hellzen, O. (2011). Management of person with dementiawith aggressive and violent behaviour: a systematic literature review. International Journal of Older PeopleNursing, 6(2), 153–162.Flaherty,J. H., Gonzales, J. P., & Dong, B. (2011). Antipsychotics in the treatmentof delirium in older hospitalized adults: A systematic review. Journal of the American Geriatrics Society,59(Suppl. 2), S269–276.Hshieh, T., Yue, J., Oh, E., Puelle, M., Dowal, S., Travison, T., & Inouye, S. K.(2015). Effectiveness of multicomponent nonpharmacological deliriuminterventions: A meta-analysis. JAMAInternal Medicine, 175(4), 512–520.Inouye, S.K., Westendorp, R. G. J., & Saczynski, J. S. (2014). Delirium in elderlypeople. The Lancet, 383(9920),911– 922.Khan, B.A., Zawahiri, M., Campbell, N. L., Fox, G. C., Weinstein, E. J., Nazir, A., ...Boustani, M. A. (2012). Delirium in hospitalized patients: Implications ofcurrent evidence on clinical practice and future avenues for research—Asystematic evidence review. Journal ofHospitalMedicine, 7(7), 580–589.Marcantonio,E. R. (2011). Delirium. Annals ofInternal Medicine, 154(11), ITC6 2–16.Martinez,F., Tobar, C., & Hill, N. (2015). Preventing delirium: Shouldnon-pharmacological, multicomponent interventions be used? A systematic reviewand meta-analysis of the literature. Ageand Ageing, 44(2), 196–204. Moniz Cook,E. D., Swift, K., James, I., Malouf, R., De Vugt, M., & Verhey, F. (2012).Functional analysis-based interventions for challenging behaviour in dementia. Cochrane Database of Systematic Reviews,2012(2). doi:10.1002/14651858.CD006929.pub2NationalInstitute for Health and Clinical Excellence. (2010). Delirium: Diagnosis, prevention and management. London, UK:Author. O’Connor, E. A., Whitlock, E. P., Gaynes, B.,& Beil, T. L. (2009). Screening for depression in adults and older adultsin primary care: An updated systematic review. Evidence Synthesis No. 75 (AHRQ Publication No. 10-05143-EF-1).Rockville, MA: Agency for Healthcare Research and Quality.Orgeta, V.,Qazi, A., Spector, A. E., & Orrell, M. (2014). Psychological treatments fordepression and anxiety in dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews,2014(1). doi:10.1002/14651858. CD009125.pub2Regan, B.,& Varanelli, L. (2013). Adjustment, depression, and anxiety in mildcognitive impairment and early dementia: A systematic review of psychologicalintervention studies. Internationalpsychogeriatrics, 25(12), 1963– 1984.RegisteredNurses’ Association of Ontario. (2010b). Screeningfor delirium, dementia and depression in the older adult. Toronto. Registered Nurses’ Association ofOntario-RNAO. Nursing Best Practice Guideline, Delirium, Dementia, and Depression inOlder Adults: Assessment and Care 2016. Erişim tarihi: 11.05.2017. http://rnao.ca/bpg/guidelines/assessment-and-care-older-adults-delirium-dementia-and-depression.Trangle,M., Gursky, J., Haight, R., Hardwig, J., Hinnenkamp, T., Kessler, D. ...Myszkowski, M. (2016). Adultdepression in primary care. Retrieved from the Institute for ClinicalSystems Improvements website: https://www.icsi.org/_asset/fnhdm3/Depr.pdfUeda, T.,Suzukamo, Y., Sato, M., & Izumi, S.-I. (2013). Effects of music therapy onbehavioral and psychological symptoms of dementia: A systematic review andmeta-analysis. Ageing ResearchReviews, 12(2), 628–641.WHO (1972)Psychogeriatric, report of a WHO Scientific Group, Technical Reports Series507, Geneva. Cited in Davise AM. Epidemiology 185; 14(1):9-21. WHO (1984) The uses of epidemiology in thestudy of the elderly. WHO, Technical Reports Series 706, Geneva:8-9.WorldHealth Organization. (2012). Dementia: A public health priority. http://www.who.int/mental_health/publications/dementia_report_2012/en/
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,008 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».