Werner Perla
Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 31905, Israel.
Aging Clin Exp Res. 2007 Oct;19(5):356-63. doi: 10.1007/BF03324715.
To assess family physicians' recommendations for help-seeking for a person with Alzheimer's disease, and their relation to knowledge about symptoms of the disease.
An experimental vignette method was used, with a nationally representative sample of 395 Israeli family physicians. Intentions to seek help from professional and non-professional sources and knowledge about 11 warning signs of Alzheimer's disease (AD) and 4 non-AD symptoms was assessed.
With the exception of the spouse and children, family physicians were more likely to recommend seeking help from professional than from non-professional sources. The main professional sources recommended concerned primary care. Participants were very knowledgeable about the symptoms of AD, and more knowledge about cognitive symptoms was associated with recommendations to seek help from specialists and primary care sources.
The findings of this study emphasize the complexity of recommendations for help-seeking in the management of dementia, and stress the importance of improving physicians' knowledge about symptoms of the disease and about guidelines suggesting collaboration with specialists and community professionals.
评估家庭医生针对阿尔茨海默病患者寻求帮助的建议，以及这些建议与对该疾病症状的了解之间的关系。
采用实验性 vignette 方法，对395名具有全国代表性的以色列家庭医生进行抽样调查。评估了从专业和非专业渠道寻求帮助的意向，以及对阿尔茨海默病（AD）的11个警示信号和4个非AD症状的了解情况。
除配偶和子女外，家庭医生更倾向于建议从专业而非非专业渠道寻求帮助。推荐的主要专业渠道是初级保健。参与者对AD症状非常了解，对认知症状了解更多与向专科医生和初级保健机构寻求帮助的建议相关。
本研究结果强调了痴呆症管理中寻求帮助建议的复杂性，并强调了提高医生对该疾病症状以及关于与专科医生和社区专业人员合作指南的了解的重要性。
