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疑难诊断:痴呆症诊断过程中及之后家庭护理者的体验。

Difficult diagnoses: Family caregivers' experiences during and following the diagnostic process for dementia.

机构信息

The Ohio State University, Columbus, OH 43210, USA.

出版信息

Am J Alzheimers Dis Other Demen. 2011 May;26(3):212-7. doi: 10.1177/1533317511400306. Epub 2011 Mar 1.

DOI:10.1177/1533317511400306
PMID:21362754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10845443/
Abstract

Diagnosing Alzheimer's disease and related dementias (ADRD) and adequately connecting families with information and supportive services continue to be challenging processes. Definitive diagnoses can take months and there is often little in place to systematically link families with community organizations. In this brief descriptive study, the researchers examined family caregivers' (N = 106) experiences with these processes. While specialists and sophisticated tests were often used, 58% of caregivers reported that a definitive diagnosis still took 3 months or longer, with 12% waiting more than 1 year. Caregivers also indicated that they were not provided with adequate information about the disease or about community resources both at the time of diagnosis and 1-year following the diagnosis. These findings suggest that there is ample opportunity to improve services offered to families affected by ADRD and that additional training, coordination, and cooperation may enhance our ability to help during and following the diagnosis.

摘要

诊断阿尔茨海默病及相关痴呆症(ADRD),并为患者家庭提供相关信息和支持服务,这两个过程一直充满挑战。明确的诊断可能需要数月的时间,而且通常没有系统的方法将家庭与社区组织联系起来。在这项简要的描述性研究中,研究人员调查了 106 名家庭照顾者的经历。虽然专家和复杂的测试经常被使用,但 58%的照顾者报告说,明确的诊断仍需要 3 个月或更长时间,12%的人等待时间超过 1 年。照顾者还表示,在诊断时和诊断后 1 年,他们没有得到关于疾病或社区资源的充分信息。这些发现表明,有充分的机会可以改善为受 ADRD 影响的家庭提供的服务,额外的培训、协调和合作可能会提高我们在诊断期间和之后帮助他们的能力。

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本文引用的文献

1
Diagnosis-independent Alzheimer disease biomarker signature in cognitively normal elderly people.认知正常老年人中与诊断无关的阿尔茨海默病生物标志物特征
Arch Neurol. 2010 Aug;67(8):949-56. doi: 10.1001/archneurol.2010.179.
2
Older adults' awareness of community health and support services for dementia care.老年人对社区卫生和痴呆症护理支持服务的认知。
Can J Aging. 2009 Dec;28(4):359-70. doi: 10.1017/S0714980809990195.
3
Closing the dementia care gap: Can referral to Alzheimer's Association chapters help?缩小痴呆症护理差距:向阿尔茨海默病协会分会转介是否有帮助?
Alzheimers Dement. 2009 Nov;5(6):498-502. doi: 10.1016/j.jalz.2009.01.024.
4
Primary care physicians' dementia care practices: evidence of geographic variation.基层医疗保健医生的痴呆症护理实践:地域差异的证据。
Gerontologist. 2010 Apr;50(2):179-91. doi: 10.1093/geront/gnp106. Epub 2009 Jul 13.
5
Dementia care consultation for family caregivers: collaborative model linking an Alzheimer's association chapter with primary care physicians.为家庭护理人员提供的痴呆症护理咨询:将阿尔茨海默病协会分会与初级保健医生联系起来的协作模式。
Aging Ment Health. 2009 Mar;13(2):162-70. doi: 10.1080/13607860902746160.
6
Educating primary care physicians in the management of Alzheimer's disease: using practice guidelines to set quality benchmarks.在阿尔茨海默病管理方面对初级保健医生进行教育:使用实践指南设定质量基准。
Int Psychogeriatr. 2009 Apr;21 Suppl 1:S44-52. doi: 10.1017/S1041610209008692. Epub 2009 Mar 17.
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Scand J Prim Health Care. 2009;27(1):31-40. doi: 10.1080/02813430802588907.
8
Disclosure of dementia diagnosis and the need for advance care planning in individuals with Alzheimer's disease.
J Am Geriatr Soc. 2008 Nov;56(11):2156-7. doi: 10.1111/j.1532-5415.2008.01987.x.
9
How do elderly spouse care givers of people with Alzheimer disease experience the disclosure of dementia diagnosis and subsequent care?老年痴呆症患者的老年配偶照顾者如何体验痴呆症诊断的披露及后续护理?
J Med Ethics. 2008 Jun;34(6):427-30. doi: 10.1136/jme.2007.021956.
10
Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives.实践限制、行为问题与痴呆症护理:初级保健医生的观点
J Gen Intern Med. 2007 Nov;22(11):1487-92. doi: 10.1007/s11606-007-0317-y. Epub 2007 Sep 7.