[德国对痴呆症管理的态度——来自IMPACT调查（阿尔茨海默病护理与治疗的重要观点）的数据]
[Attitudes toward dementia management in Germany - Data from the IMPACT survey (Important Perspectives on Alzheimer's Care and Treatment)].
作者信息
Hausner L, Damian M, Jekel K, Richter M, Frölich L
机构信息
Zentralinstitut für Seelische Gesundheit, Abteilung für Gerontopsychiatrie, Medizinische Fakultät Mannheim, Universität Heidelberg.
出版信息
Dtsch Med Wochenschr. 2012 Jun;137(25-26):1351-5. doi: 10.1055/s-0032-1305081. Epub 2012 Jun 12.
AIM
To assess attitudes and opinions of primary care physicians, neuropsychiatrists, care givers, and community members regarding the management of dementia in Germany.
METHODS
The IMPACT survey, a 30-minute web-based questionnaire conducted between April and May 2009, queried 350 subjects in Germany (200 community members, 100 physicians, 50 caregivers of patients with dementia) as a subpopulation of 1800 subjects involved in the management of dementia subjects across Europe.
RESULTS
Community members favored dementia-screening (p < 0.001) in healthy elderly and wanted to know a diagnosis of dementia as early as possible (p = 0.092). German physicians regarded dementia as underdiagnosed and undertreated, they acknowledged the effectiveness of available antidementia drugs and saw the major reason for not-prescribing in the costs of drugs.
CONCLUSION
Professional knowledge about dementia has to be enhanced and financial restrictions have to be reduced to improve dementia management on all levels of medical care.
目的
评估德国初级保健医生、神经精神科医生、护理人员及社区成员对痴呆症管理的态度和看法。
方法
“影响”调查是一项于2009年4月至5月间进行的30分钟网络问卷，在德国对350名受试者（200名社区成员、100名医生、50名痴呆症患者护理人员）进行了询问，这些受试者是参与欧洲痴呆症患者管理的1800名受试者中的一个亚组。
结果
社区成员赞成对健康老年人进行痴呆症筛查（p < 0.001），并希望尽早得知痴呆症诊断结果（p = 0.092）。德国医生认为痴呆症存在诊断不足和治疗不足的情况，他们认可现有抗痴呆药物的有效性，并认为不开药的主要原因是药物成本。
结论
必须加强关于痴呆症的专业知识，并减少经济限制，以改善各级医疗保健中的痴呆症管理。
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