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[一项针对老年人健康问题的预防计划。用于全科医疗的门诊老年筛查(AGES)]

[A prevention program for health problems in the elderly. Ambulatory Geriatric Screening (AGES) for use in general practice].

作者信息

Junius U, Kania H, Fischer G C

机构信息

Abteilung Allgemeinmedizin, Medizinischen Hochschule Hannover.

出版信息

Fortschr Med. 1996 Jul 20;114(20-21):259-61.

PMID:8926005
Abstract

Ambulatory Geriatric Screening (AGES) is a standardized interview and examination instrument, the purpose of which is to detect major health or psychosocial problems in the elderly ambulatory patient, and thus prevent secondary illnesses. It comprises a patient and doctor's assistant questionnaire and a doctor's examination sheet with brief instructions for use. In a study conducted between 1992 and 1995, AGES was employed in 67 randomly selected general practitioners' offices in the area around Leipzig and Hannover. An important result was that in an average of 10.2 health-related problems per patient, 4.8, that is almost a half, had been unknown to the care-providing physician. In the case of very old patients, however, the family doctor was usually better informed. The application of the AGES in the office is less time-consuming than might be feared. For the evaluation of the patient questionnaire and the scheduled small examinations, the doctor's assistant needs only 10 to 15 minutes. Thereafter, the family doctor can check the results at a glance and use them as a basis for further talks with the patient and his therapeutic approach.

摘要

门诊老年筛查(AGES)是一种标准化的访谈和检查工具,其目的是发现老年门诊患者的主要健康或社会心理问题,从而预防继发性疾病。它包括一份患者和医生助手问卷以及一份带有简要使用说明的医生检查表。在1992年至1995年进行的一项研究中,AGES被应用于莱比锡和汉诺威周边地区随机挑选的67家全科医生诊所。一个重要的结果是,每位患者平均有10.2个与健康相关的问题,其中4.8个,即几乎一半,是提供护理的医生所不知道的。然而,对于非常年老的患者,家庭医生通常了解得更多。在诊所应用AGES所花费的时间比可能担心的要少。对于评估患者问卷和预定的小检查,医生助手只需要10到15分钟。此后,家庭医生可以一眼查看结果,并将其作为与患者进一步交谈及其治疗方法的基础。

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