Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences & Society (NVS), Karolinska Institutet, Novum 5th Floor, 14186 Stockholm, Sweden.
Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences & Society (NVS), Karolinska Institutet, Novum 5th Floor, 14186 Stockholm, Sweden ; Department of Geriatric Medicine, Karolinska University Hospital, 14186 Stockholm, Sweden.
Parkinsons Dis. 2014;2014:739718. doi: 10.1155/2014/739718. Epub 2014 Aug 25.
Active aging has been emerged to optimize different aspects of health opportunities during the aging process in order to enhance quality of life. Yet, most of the efforts are on normal aging and less attention has been paid for the elderly suffering from a chronic illness such as Parkinson's disease (PD). The aim of this review was to investigate how the concept of "active aging" fit for the elderly with PD and to propose a new model for them using the recent improvements in caring models and management approaches. For this purpose, biomedical databases have been assessed using relevant keywords to find out appropriate articles. Movement problems of PD affect physical activity, psychiatric symptoms lessen social communication, and cognitive impairment could worsen mental well-being in elderly with PD, all of which could lead to earlier retirement and poorer quality of life compared with healthy elderly. Based on the multisystematic nature of PD, a new "Active Aging Model for Parkinson's Disease" is proposed consisting of self-care, multidisciplinary and interdisciplinary care, palliative care, patient-centered care, and personalized care. These strategies could potentially help the individuals with PD to have a better management approach for their condition towards the concept of active aging.
积极老龄化是指优化衰老过程中健康机会的各个方面，以提高生活质量。然而，大多数努力都集中在正常衰老上，对患有慢性病（如帕金森病）的老年人关注较少。本综述的目的是探讨“积极老龄化”的概念如何适用于患有帕金森病的老年人，并使用护理模式和管理方法的最新进展为他们提出一个新的模型。为此，使用相关关键词评估了生物医学数据库，以找到合适的文章。帕金森病的运动问题会影响身体活动，精神症状会减少社交交流，认知障碍会使老年帕金森病患者的心理健康恶化，所有这些都会导致他们比健康老年人更早退休，生活质量更差。基于帕金森病的多系统性，提出了一个新的“帕金森病积极老龄化模型”，包括自我护理、多学科和跨学科护理、姑息治疗、以患者为中心的护理和个性化护理。这些策略可能有助于帕金森病患者更好地管理疾病，实现积极老龄化的理念。
