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照顾痴呆症患者的人:爱尔兰全科医生的角色。

Caring for dementia carers: the role of general practitioners in Ireland.

机构信息

Department of Surgery, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.

出版信息

Ir J Med Sci. 2011 Jun;180(2):327-32. doi: 10.1007/s11845-010-0671-3. Epub 2011 Jan 29.

DOI:10.1007/s11845-010-0671-3
PMID:21279463
Abstract

BACKGROUND

Dementia patients in Ireland live 8 years on average after diagnosis and health policy aims to ensure patients are cared for in the home for as long as possible.

AIM

To assess the role of general practitioners in Ireland caring for dementia carers.

METHODS

A PubMed search (1980-2010) was performed using MeSH terms "caregivers or carers", "Dementia or Alzheimer's disease", "family physician or general practitioner". An English language restriction was imposed and the search continued to June 24th 2010.

RESULTS

Psychosocial multidisciplinary interventions that unite education, skills training, management of psychological problems and family support in the community are effective in managing the problems of carers and should be facilitated by general practitioners.

CONCLUSIONS

Dementia carers form an important yet understated patient group who present unique challenges for general practitioners in Ireland.

摘要

背景

爱尔兰的痴呆症患者平均在确诊后能存活 8 年,而卫生政策旨在确保患者尽可能长时间在家中得到照顾。

目的

评估爱尔兰全科医生在照顾痴呆症照护者方面的作用。

方法

使用 MeSH 术语“照料者或照护者”、“痴呆症或阿尔茨海默病”、“家庭医生或全科医生”,在 PubMed 上进行了 1980 年至 2010 年的检索。限制使用英语语言,并于 2010 年 6 月 24 日继续进行检索。

结果

将教育、技能培训、心理问题管理和家庭支持相结合的心理社会多学科干预措施在社区中对照顾者的问题非常有效,应该由全科医生来促成这些干预措施。

结论

痴呆症照护者是一个重要但被低估的患者群体,他们给爱尔兰的全科医生带来了独特的挑战。

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1
Caring for dementia carers: the role of general practitioners in Ireland.照顾痴呆症患者的人:爱尔兰全科医生的角色。
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2
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Who cares for the carer? The often forgotten patient.谁来照顾照顾者?那个常常被遗忘的患者。
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Psychological distress in carers of dementia sufferers.痴呆症患者照料者的心理困扰
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引用本文的文献

1
General practice based psychosocial interventions for supporting carers of people with dementia or stroke: a systematic review.基于全科医疗的心理社会干预对痴呆症或中风患者照料者的支持作用:一项系统评价
BMC Fam Pract. 2016 Jan 15;17:3. doi: 10.1186/s12875-015-0399-2.

本文引用的文献

1
Contribution of chronic diseases to disability in elderly people in countries with low and middle incomes: a 10/66 Dementia Research Group population-based survey.低收入和中等收入国家慢性病对老年人残疾的影响:一项基于10/66痴呆症研究小组人群的调查。
Lancet. 2009 Nov 28;374(9704):1821-30. doi: 10.1016/S0140-6736(09)61829-8.
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The clinical course of advanced dementia.晚期痴呆的临床病程。
N Engl J Med. 2009 Oct 15;361(16):1529-38. doi: 10.1056/NEJMoa0902234.
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Reducing dangerous nighttime events in persons with dementia by using a nighttime monitoring system.
使用夜间监测系统减少痴呆症患者夜间危险事件的发生。
Alzheimers Dement. 2009 Sep;5(5):419-26. doi: 10.1016/j.jalz.2008.08.005.
4
Caregiving: the odyssey of becoming more human.照料:变得更有人性的漫长历程。
Lancet. 2009 Jan 24;373(9660):292-3. doi: 10.1016/s0140-6736(09)60087-8.
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Abuse of people with dementia by family carers: representative cross sectional survey.家庭护理人员对痴呆症患者的虐待:代表性横断面调查
BMJ. 2009 Jan 22;338:b155. doi: 10.1136/bmj.b155.
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What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative? A systematic literature review.全科医生对社区痴呆患者家庭照顾者的作用是什么?一项系统的文献综述。
Scand J Prim Health Care. 2009;27(1):31-40. doi: 10.1080/02813430802588907.
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Family physicians' perspectives on care of dementia patients and family caregivers.家庭医生对痴呆症患者及家庭护理人员护理的看法。
Can Fam Physician. 2008 Jul;54(7):1008-15.
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Can counseling and support reduce burden and depressive symptoms in caregivers of people with Alzheimer's disease during the transition to institutionalization? Results from the New York University caregiver intervention study.咨询与支持能否减轻阿尔茨海默病患者照护者在入住养老院过渡期间的负担及抑郁症状?纽约大学照护者干预研究结果
J Am Geriatr Soc. 2008 Mar;56(3):421-8. doi: 10.1111/j.1532-5415.2007.01593.x. Epub 2008 Jan 4.
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Evidence-based psychological treatments for distress in family caregivers of older adults.针对老年人家庭照顾者心理困扰的循证心理治疗。
Psychol Aging. 2007 Mar;22(1):37-51. doi: 10.1037/0882-7974.22.1.37.
10
Effect of institutional respite care on the sleep of people with dementia and their primary caregivers.机构喘息护理对痴呆症患者及其主要照料者睡眠的影响。
J Am Geriatr Soc. 2007 Feb;55(2):252-8. doi: 10.1111/j.1532-5415.2007.01036.x.