University of Leicester, Leicester, UK.
Int J Clin Pract. 2010 Aug;64(9):1198-209. doi: 10.1111/j.1742-1241.2010.02417.x. Epub 2010 Jun 7.
The prevalence of dementia is reaching epidemic proportions globally, but there remain a number of issues that prevent people with dementia, their families and caregivers, from taking control of their condition. In 2008, Alzheimer's Disease International (ADI) launched a Global Alzheimer's Disease Charter, which comprises six principles that underscore the urgency for a more ambitious approach to diagnosis, treatment and care. This review highlights some of the most important aspects and challenges of dementia diagnosis and treatment. These issues are reviewed in light of the six principles of the recent ADI Charter: promoting dementia awareness and understanding; respecting human rights; recognizing the key role of families and caregivers; providing access to health and social care; stressing the importance of optimal diagnosis and treatment; and preventing dementia through improvements in public health. The authors continue to hope that, one day, a cure for Alzheimer's disease will be found. Meanwhile, healthcare professionals need to unite in rising to the challenge of managing all cases of dementia, using the tools available to us now to work toward improved patient care.
痴呆症的患病率在全球范围内呈流行趋势，但仍有一些问题使得痴呆症患者、他们的家人和护理人员无法控制自己的病情。2008 年，阿尔茨海默病国际（Alzheimer's Disease International，ADI）发布了《全球阿尔茨海默病宪章》，其中包含 6 项原则，强调了采取更具雄心的方法进行诊断、治疗和护理的紧迫性。本综述强调了痴呆症诊断和治疗的一些最重要的方面和挑战。根据最近的 ADI 宪章的 6 项原则，对这些问题进行了审查：提高对痴呆症的认识和理解；尊重人权；认识到家庭和护理人员的关键作用；提供获得卫生和社会保健的机会；强调最佳诊断和治疗的重要性；通过改善公共卫生来预防痴呆症。作者仍然希望有一天能够找到治疗阿尔茨海默病的方法。与此同时，医疗保健专业人员需要团结起来，应对管理所有痴呆症病例的挑战，利用我们现有的工具来提高患者的护理水平。
