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[成年智障者,医疗保健中被忽视的群体]

[Adults with intellectual disability, a neglected group in health care].

作者信息

Nylander Lena, Fernell Elisabeth, Björkman Monica

机构信息

Vo Vuxenpsykiatri Lund - VUB-teamet Lund, Sweden Vo Vuxenpsykiatri Lund - VUB-teamet Lund, Sweden.

Neurovetenskap och fysiologi - Gillbergcentrum Gothenburg, Sweden Neurovetenskap och fysiologi - Gillbergcentrum Gothenburg, Sweden.

出版信息

Lakartidningen. 2014 Sep 23;111(39):1648-50.

PMID:25253611
Abstract

Adults with intellectual developmental disorder are at considerable risk of somatic as well as psychiatric illness, but seldom have access to services on equal conditions as adults without intellectual developmental disorder. The symptoms of illness are often difficult to interpret, due to communication difficulties, and examinations may be difficult to carry out. Patients with moderate/severe/profound intellectual disability therefore need interpreters and to be given sufficient time when making clinic visits. Patients with intellectual disability have excess mortality from somatic illness and are at risk for suboptimal treatment with psychotropic medications.

摘要

患有智力发育障碍的成年人面临着患躯体疾病和精神疾病的相当大风险,但很少能在与没有智力发育障碍的成年人同等条件下获得服务。由于沟通困难,疾病症状往往难以解读,检查也可能难以进行。因此,中度/重度/极重度智力残疾患者在门诊就诊时需要翻译人员并给予足够时间。智力残疾患者因躯体疾病死亡率过高,且有接受精神药物治疗效果不佳的风险。

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