Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China.
Department of Medicine, The University of Hong Kong, Hong Kong, China.
Int J Environ Res Public Health. 2019 Jan 5;16(1):128. doi: 10.3390/ijerph16010128.
The increasing prevalence of dementia has become a public health issue worldwide including China. This study aims to explore the perception of Chinese in Hong Kong towards the diagnosis, symptoms and impacts of dementia. A cross-sectional survey was conducted among outpatients (without diagnosed dementia) attending a regional public hospital using a standard questionnaire. The results from 290 respondents showed that most preferred to be told about the diagnosis of dementia as soon as possible if they got it, in order to deal with the news and to access treatment and support early. Nearly two thirds of the respondents perceived practical issues (61.3%), physical health (61.0%), and emotional distress (58.4%) as their most fearful impacts, while legal issues (7.4%) were their least concerns. Family history/genes (79.1%) and brain injury (75.9%) were the most commonly perceived causes of dementia. For symptoms, respondents were more likely to identify cognitive impairments than undesirable behaviours. The accepting and proactive attitudes of the public indicate that there is a timely need of more public education about the disease, early screening and better continuity of care to fulfil the anticipated increase of the dementia patient population.
痴呆症的发病率不断上升,已成为全球(包括中国)的公共卫生问题。本研究旨在探讨香港华人对痴呆症的诊断、症状和影响的认知。采用标准问卷,对一家地区公立医院的门诊患者(未被诊断为痴呆症)进行了横断面调查。290 名受访者的结果显示,如果他们被诊断出患有痴呆症,大多数人希望尽快被告知,以便处理消息,并尽早获得治疗和支持。近三分之二的受访者最担心实际问题(61.3%)、身体健康(61.0%)和情绪困扰(58.4%),而法律问题(7.4%)则是他们最不担心的问题。家族史/基因(79.1%)和脑损伤(75.9%)是最常见的痴呆症病因。对于症状,受访者更有可能识别认知障碍,而不是不良行为。公众的接受和积极态度表明,及时需要更多的公众教育、早期筛查和更好的连续性护理,以满足预期的痴呆症患者人数的增加。