日常功能与痴呆症
Daily functioning and dementia.
作者信息
Cipriani Gabriele, Danti Sabrina, Picchi Lucia, Nuti Angelo, Fiorino Mario Di
机构信息
MD,Versilia Hospital, Neurology Unit, Lido di Camaiore (Lu), Italy.
MD, Versilia Hospital, Psychiatry Unit, Lido di Camaiore (Lu), Italy.
出版信息
Dement Neuropsychol. 2020 Apr-Jun;14(2):93-102. doi: 10.1590/1980-57642020dn14-020001.
Abstract
Dementia is characterized by a decline in memory, language, problem-solving and in other cognitive domains that affect a person's ability to perform everyday activities and social functioning. It is consistently agreed that cognitive impairment is an important risk factor for developing functional disabilities in patients with dementia. Functional status can be conceptualized as the ability to perform self-care, self- maintenance and physical activity. A person with dementia usually requires help with more complex tasks, such as managing bills and finances, or simply maintaining a household. Good functional performance is fundamental for elderly people to maintain independency and avoid institutionalization. The purpose of this review is to describe functional changes in demented patients, evaluating the variability in subgroups of dementias.
摘要
痴呆症的特征是记忆力、语言能力、解决问题的能力以及其他认知领域出现衰退，这些会影响一个人进行日常活动和社交功能的能力。人们一致认为，认知障碍是痴呆症患者发生功能残疾的重要危险因素。功能状态可以被理解为进行自我护理、自我维持和身体活动的能力。患有痴呆症的人通常在处理更复杂的任务时需要帮助，比如管理账单和财务，或者仅仅是维持一个家庭。良好的功能表现对于老年人维持独立性和避免入住养老院至关重要。本综述的目的是描述痴呆患者的功能变化，评估痴呆亚组中的变异性。
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Int J Environ Res Public Health. 2019 Jul 23;16(14):2617. doi: 10.3390/ijerph16142617.
2
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3
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J Prev Alzheimers Dis. 2018;5(3):184-187. doi: 10.14283/jpad.2018.22.
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9
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