Lämmler G, Stechl E, Steinhagen-Thiessen E
Forschungsgruppe Geriatrie am Evangelischen Geriatriezentrum Berlin gGmbH, Charité Universitätsmedizin Berlin, Berlin, Germany.
Z Gerontol Geriatr. 2007 Apr;40(2):81-7. doi: 10.1007/s00391-007-0439-1.
Disclosing a diagnosis of dementia to the patient has become a scientific topic only in the last decade. This review gives an up-to-date account of ongoing research. After an introductory discussion of the pros and cons, the unsatisfactory situation of disclosure in the European Union is analysed. Afterwards, the wish of being told a diagnosis of dementia among healthy old people, people with dementia and their relatives is described. The first empirical studies about coping with the diagnosis are presented. Suggestions of new directions in coping research are made. Finally, recommendations for communicating the diagnosis to the patient and the family are given.
向患者披露痴呆症诊断只是在过去十年才成为一个科学话题。本综述对正在进行的研究进行了最新阐述。在对利弊进行初步讨论之后,分析了欧盟披露情况不尽人意的状况。之后,描述了健康老年人、痴呆症患者及其亲属被告知痴呆症诊断的意愿。介绍了关于应对该诊断的首批实证研究。提出了应对研究新方向的建议。最后,给出了向患者及其家人传达诊断结果的建议。