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痴呆照料者是保证痴呆患者生活质量的核心群体。痴呆分为阿尔茨海默病(AD)、额颞叶痴呆(FTD)、路易体痴呆(DLB)、血管性痴呆(Va D)等,FTD又分为3个亚型:行为变异型额颞叶痴呆(bv FTD)、进行性非流利性失语(nfv PPA)、语义性痴呆(sv PPA)。本文通过回顾FTD患者神经精神行为症状(BPSD)及FTD照料者负担的相关性研究,得出FTD患者的BPSD高于AD患者,不同亚型的FTD患者照料者承担的负担对比AD更重。本文回顾了FTD患者BPSD的临床评价常用量表及照料者负担量表,并有针对性地提出了减少FTD患者BPSD症状的心理护理方法,对FTD照料者提供了指导及支持的策略,也为降低FTD照料者负担提供了临床护理思路及参考。
Dementia caregivers are a core group that guarantees the quality of life for people with dementia. Dementia is divided into Alzheimer’s disease (AD), frontotemporal dementia (FTD), Lewy body dementia (DLB), vascular dementia (VaD), etc., FTD is divided into three subtypes: behavioral variant forehead Leaf dementia (bv FTD), progressive non-aphasia (nfv PPA), semantic dementia (sv PPA). This review examines the association between neuropsychiatric behavioral symptoms (BPSD) and the burden of FTD caregivers in patients with FTD and concludes that patients with FTD have a higher BPSD than those with AD, and those with different subtypes of FTD burden on caregivers more heavily than AD. This review reviews the common clinical evaluation scale and caregiver burden scale for BPSD in FTD patients and proposes a psychological care approach to reduce BPSD symptoms in FTD patients and provides guidance and supportive strategies for FTD caregivers Reduce the burden of FTD caregivers provide clinical nursing ideas and references.