[专科诊疗中轻度认知障碍患者的需求]

[Needs of Patients with Mild Cognitive Disorders in a Specialist Practice].

作者信息

Bohlken Jens, Rädke Anika, Kohlmann Thomas, Riedel-Heller Steffi, Rapp Michael

机构信息

Praxis für Neurologie und Psychiatrie, Berlin.

Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP) der Medizinischen Fakultät der Universität Leipzig.

出版信息

Psychiatr Prax. 2020 Mar;47(2):87-93. doi: 10.1055/a-1013-0237. Epub 2019 Oct 31.

DOI:10.1055/a-1013-0237

PMID:31671468

Abstract

OBJECTIVE

To describe the needs of care for patients with mild cognitive impairment (PmMCI).

METHODS

Survey of 51 PmMCI in a specialist care practice. Questionnaire based on the CANE assessment scale. Control variables among others are MMST and GDS.

RESULTS

35 % or 8 % experienced memory disorder as moderate or severe and 27 % or 8 % felt impaired frequently or continuous in everyday life. Over 70 % were in a balanced mood despite the memory problems. follow-up (96 %), dementia risk assessment (73 %), memory training (55 %), drug treatment (33 %). appreciable effect (41 %), willingness to endure side effects (29 %), preference for herbal medication (59 %). athletic activation (63 %), memory training (51 %) and nutritional counselling (37 %). The desire for psychotherapeutic discussions (27 %) was associated with higher depression levels of GDS.

CONCLUSION

PmMCI experienced memory disorder as a burden and impairment. They expected diagnostic and therapeutic support. PmMCI with depressive symptoms expected psychotherapeutic treatment.

摘要

目的

描述轻度认知障碍患者（PmMCI）的护理需求。

方法

在专科护理实践中对51名PmMCI患者进行调查。基于CANE评估量表的问卷调查。控制变量包括简易精神状态检查表（MMST）和老年抑郁量表（GDS）等。

结果

35%或8%的患者经历中度或重度记忆障碍，27%或8%的患者在日常生活中频繁或持续感到有功能损害。尽管存在记忆问题，但超过70%的患者情绪平稳。随访（96%）、痴呆风险评估（73%）、记忆训练（55%）、药物治疗（33%）。明显效果（41%）、忍受副作用的意愿（29%）、对草药治疗的偏好（59%）。体育活动（63%）、记忆训练（51%）和营养咨询（37%）。对心理治疗讨论的需求（27%）与GDS较高的抑郁水平相关。