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COVID-19 时期的阿尔茨海默病与口罩

Alzheimer's Disease and Face Masks in Times of COVID-19.

机构信息

Emeriti Professor of Neurology, University Hospital, Poitiers, Director of the Ethical Reflection area of Nouvelle-Aquitaine, France.

Department of Psychobiology, University of Salamanca, Neuroscience Institute of Castilla-León, Spain.

出版信息

J Alzheimers Dis. 2021;79(1):9-14. doi: 10.3233/JAD-201233.

Abstract

Generalized lockdown caused by COVID-19, necessary yesterday, can no longer be that of tomorrow. It will no longer be possible to cram the humblest into cramped areas, but priority must be given to prevention (certainly with physical barriers, hydro-alcoholic gel, face masks), biological diagnosis, isolation, and also the care of any infected person. COVID-19 has hit the most vulnerable first in terms of biological inequality, such as Alzheimer's disease (AD) patients. Those with AD can have sensorial deficits and perception troubles, including visual difficulties and the inability to recognize faces and emotions. Face masks and physical distancing can disrupt facial familiarity and make it more difficult to recognize emotional facial expressions. It can provoke distress, which the visitor can perceive and feel obligated to take off the face mask. This gesture should not be considered as an act of indiscipline, but an act of empathy. Transparent face masks could improve the suffering of AD patients, distraught in the presence of their loved ones whose masks hide their faces. Wearing a mask should not be due to fear of punishment, but as an understanding of the responsibility of each individual in the control of the current pandemic. It may be necessary to convince more citizens of this civic duty, using clear and attractive messaging in order to standardize the wearing of face masks for the general public and to adapt them to the needs of patients.

摘要

由于 COVID-19 而实施的全面封锁,昨天是必要的,但明天不再是必要的。将最弱势群体挤在狭小的空间里的做法不再可行,而是必须优先考虑预防措施(当然包括物理屏障、酒精凝胶、口罩)、生物诊断、隔离以及对任何感染者的护理。COVID-19 在生物不平等方面首先袭击了最脆弱的人群,例如阿尔茨海默病(AD)患者。AD 患者可能存在感官缺陷和感知障碍,包括视力困难以及无法识别面部和情绪。口罩和身体距离可能会破坏面部熟悉度,使识别情感面部表情更加困难。这可能会引起困扰,访客可以感知到并感到有义务摘下口罩。这种行为不应被视为不遵守纪律,而应被视为同理心的表现。透明口罩可以改善 AD 患者的痛苦,当他们的亲人戴着口罩遮住脸时,他们会感到心烦意乱。戴口罩不应是因为害怕受到惩罚,而是因为每个人都理解在控制当前大流行方面的个人责任。可能有必要说服更多的公民承担这项公民义务,使用清晰且有吸引力的信息来规范公众佩戴口罩,并根据患者的需求对其进行调整。

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