Reyes-Morales Hortensia, Doubova Svetlana Vladislavovna, García-González José Juan, Espinosa-Aguilar Amilcar, Jiménez-Uribe Rodrigo, Peña-Valdovinos Abel, Mendoza-Núñez Víctor Manuel
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos.
Rev Med Inst Mex Seguro Soc. 2009 May-Jun;47(3):291-306.
A clinical practice guideline was developed as a response to the increasing of elderly in Mexican population due to the epidemiological transition; this instrument allows the assessment of health conditions for people from 60 years of age and older, and it can be a tool for helping family physicians and nurses in providing care for the main health problems of this group of age. The guideline for gerontologic assessment includes six principal health priorities in older people (loss of vision, difficulty to hear, falls or problems walking, nutritional disorders, memory difficulties, and sleep disorders); additionally, another four components for assessment are revised (medication use, physical functionality, quality of life, and social support). Simple recommendations for detection, diagnosis and management of these problems in primary care settings are presented.
由于流行病学转变,墨西哥人口老龄化加剧,为此制定了一项临床实践指南;该工具可用于评估60岁及以上人群的健康状况,并且可以作为帮助家庭医生和护士为该年龄段人群的主要健康问题提供护理的工具。老年评估指南包括老年人六个主要的健康优先事项(视力丧失、听力困难、跌倒或行走问题、营养失调、记忆困难和睡眠障碍);此外,还修订了另外四个评估要素(药物使用、身体功能、生活质量和社会支持)。文中还给出了在初级保健机构中对这些问题进行检测、诊断和管理的简单建议。