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对痴呆症友好、有应对痴呆症的能力以及对痴呆症持积极态度:为未来做准备的理念。

Dementia friendly, dementia capable, and dementia positive: concepts to prepare for the future.

作者信息

Lin Shih-Yin, Lewis Frances Marcus

机构信息

School of Nursing, University of Washington, Seattle.

出版信息

Gerontologist. 2015 Apr;55(2):237-44. doi: 10.1093/geront/gnu122. Epub 2015 Feb 15.

Abstract

With an aging global population, the number of dementia cases is growing exponentially. To address the upcoming dementia crisis, the World Health Organization and Alzheimer's Disease International (2012) collaborated on an extensive report, Dementia: A Public Health Priority. In the United Kingdom, Prime Minster David Cameron initiated a national challenge on dementia, forming 3 dementia challenge champion groups aimed at improving health and care, creating dementia-friendly communities, and promoting dementia research. In the U.S., President Obama signed the National Alzheimer's Project Act, which led to the formation of the Advisory Council on Alzheimer's Research, Care, and Services and the launch of the first National Plan to Address Alzheimer's Disease. The term "dementia capable" was introduced in the 2012 Recommendations of the Public Members of the Advisory Council and has since been adopted in both the recommendations and annual updates of the national plan. This paper will first compare and contrast government usage of the concepts dementia friendly and dementia capable, along with another valuable concept, dementia positive, that was added after reviewing the literature. Finally, a new vision statement for the U.S.' national plan will be proposed and recommendations incorporating these 3 concepts in policy, research, and practice will be made.

摘要

随着全球人口老龄化,痴呆症病例数量呈指数级增长。为应对即将到来的痴呆症危机,世界卫生组织和国际阿尔茨海默病协会(2012年)合作撰写了一份详尽的报告《痴呆症:一项公共卫生重点事项》。在英国,首相戴维·卡梅伦发起了一项针对痴呆症的全国性挑战,组建了3个痴呆症挑战冠军小组,旨在改善健康与护理状况、创建对痴呆症患者友好的社区并推动痴呆症研究。在美国,奥巴马总统签署了《国家阿尔茨海默病项目法案》,该法案促成了阿尔茨海默病研究、护理及服务咨询委员会的成立,并启动了首个应对阿尔茨海默病的国家计划。“具备痴呆症应对能力”这一术语在咨询委员会公众成员2012年的建议中被提出,此后在国家计划的建议及年度更新中均被采用。本文将首先比较和对比政府对“对痴呆症友好”和“具备痴呆症应对能力”这两个概念的使用情况,以及在查阅文献后新增的另一个有价值的概念“积极面对痴呆症”。最后,将为美国的国家计划提出一份新的愿景声明,并就将这三个概念纳入政策、研究和实践提出建议。

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