Clevenger Carolyn K, Lingler Jennifer H, Zhang Yuchen, Seleri Sheila, Parnas M Laura, Youmans-Kidder Katherine
Emory University Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd, Atlanta, GA 30322, USA.
University of Pittsburgh School of Nursing, 3500 Victoria St, Pittsburgh, PA 15213, USA.
Geriatr Nurs. 2025 Jan-Feb;61:400-407. doi: 10.1016/j.gerinurse.2024.11.020. Epub 2024 Dec 13.
Alzheimer's disease (AD) is a progressive neurodegenerative disease. Treatments include disease-modifying therapies (DMTs), which studies showed are most effective when initiated during the early disease stages. Timely AD diagnosis is therefore important, as DMTs can potentially extend an acceptable quality of life for people with this condition. This scoping review presents the current role of nurse practitioners (NPs) in AD care and describe the current and potential future role NPs can play in timely AD diagnosis and management. A systematic search of the PubMed and CINAHL databases identified 15 relevant articles. The literature review revealed that NPs play an active role in the initial assessment of cognitive disorders; however, there is a lack of evidence for NPs acting autonomously to diagnose and treat AD. Several opportunities to increase the autonomous role of NPs are described, which could reduce barriers to timely AD diagnosis and management.
阿尔茨海默病（AD）是一种进行性神经退行性疾病。治疗方法包括疾病修饰疗法（DMTs），研究表明，这些疗法在疾病早期阶段开始使用时最为有效。因此，及时诊断AD很重要，因为DMTs有可能延长这种疾病患者可接受的生活质量。本综述介绍了执业护士（NPs）在AD护理中的当前作用，并描述了NPs在及时诊断和管理AD方面目前及未来可能发挥的作用。对PubMed和CINAHL数据库进行系统检索，共识别出15篇相关文章。文献综述显示，NPs在认知障碍的初始评估中发挥着积极作用；然而，缺乏证据表明NPs能自主诊断和治疗AD。文中描述了几个增加NPs自主作用的机会，这可能会减少及时诊断和管理AD的障碍。
