中华护理杂志 ›› 2020, Vol. 55 ›› Issue (12): 1890-1895.DOI: 10.3761/j.issn.0254-1769.2020.12.023
收稿日期:
2019-12-12
出版日期:
2020-12-15
发布日期:
2020-12-08
通讯作者:
朱蓝玉
作者简介:
尹晓彤,女,本科(硕士在读),E-mail:基金资助:
YIN Xiaotong(),ZHU Lanyu(),LI Chunying
Received:
2019-12-12
Online:
2020-12-15
Published:
2020-12-08
Contact:
Lanyu ZHU
摘要:
随着老龄化进程的加快,老年失智症患者的照护问题成为关注的焦点。该文对失智症的概念进行辨析并介绍失智症的分类和诊断、四元联动整合照护的涵义、国内外联动整合照护的发展历程,总结了四元联动主体框架及功能,从网络技术应用、联动转多、培养多层次护理人才、创立失智社区的角度提出了建议,以期为中国老年失智症患者的照护问题提供研究思路。
尹晓彤,朱蓝玉,李春映. 四元联动整合照护在老年失智症患者中的应用进展[J]. 中华护理杂志, 2020, 55(12): 1890-1895.
YIN Xiaotong,ZHU Lanyu,LI Chunying. Progress on integrated care with quaternary linkage in senile dementia[J]. Chinese Journal of Nursing, 2020, 55(12): 1890-1895.
[1] | 杜玉慧, 施学忠, 张卫萍, 等. 中国人口老龄化时间空间变化趋势分析[J]. 中国卫生统计, 2018,35(4):522-526. |
Du YH, Shi XZ, Zhang WP, et al. Exploration on the trend of temporal and spatial distribution of population aging in China[J]. Chin J Heal Stat, 2018,35(4):522-526. | |
[2] | Alzheimer’s Association. 2016 Alzheimer’s disease facts and figures[J]. Alzheimers Dement, 2016,12(4):459-509. |
[3] | Jia JP, Wei CB, Chen SQ, et al. The cost of Alzheimer’s disease in China and reestimation of costs worldwide[J]. Alzhei-mers Dementia, 2018,14(4):483-491. |
[4] |
Matej R, Tesar A, Rusina R. Alzheimer’s disease and other neu-rodegenerative dementias in comorbidity:a clinical and neuropathological overview[J]. Clin Biochem, 2019,73:26-31.
DOI URL PMID |
[5] |
Nakamura K, Watanabe Y, Kitamura K, et al. Psychological distress as a risk factor for dementia after the 2004 Niigata-Chuetsu earthquake in Japan[J]. J Affect Disord, 2019,259:121-127.
DOI URL PMID |
[6] | 李峥. 老年痴呆相关概念辨析[J]. 中华护理杂志, 2011,46(10):1045. |
Li Z. Analysis of related concepts of senile dementia[J]. Chin J Nurs, 2011,46(10):1045. | |
[7] |
Roberts RO, Christianson TJ, Kremers WK, et al. Association between olfactory dysfunction and amnestic mild cognitive im-pairment and Alzheimer disease dementia[J]. JAMA Neurol, 2016,73(1):93-101.
URL PMID |
[8] | 唐志红, 于卫华, 饶晓岚, 等. 医养结合-四元联动整合照护模型的实践[J]. 中华护理杂志, 2017,52(1):40-43. |
Tang ZH, Yu WH, Rao XL, et al. The building of the “treatment-care and four linkage combination” integrated care model[J]. Chin J Nurs, 2017,52(1):40-43. | |
[9] | 王轶, 王志稳, 郝薇, 等. 居家痴呆老年人愉悦性活动参与情况及影响因素研究[J]. 中华护理杂志, 2017,52(5):524-529. |
Wang Y, Wang ZW, Hao W, et al. The status and influencing factors of pleasant events among community-dwelling dementia patients[J]. Chin J Nurs, 2017,52(5):524-529. | |
[10] | 陈春英, 陆子琴, 孟莉萍, 等. 整合照护对阿尔茨海默病患者长期管理的效果评价[J]. 中华护理杂志, 2019,54(7):999-1004. |
Chen CY, Lu ZQ, Meng LP, et al. Evaluation of effect of nurse-led integrated care on long-term management of patients with Alzheimer’s disease[J]. Chin J Nurs, 2019,54(7):999-1004. | |
[11] | 王凤, 叶国英, 徐萍, 等. 宁波市养老机构养老护理员培训现状及需求[J]. 中国老年学杂志, 2018,38(18):4555-4557. |
Wang F, Ye GY, Xu P, et al. Training status and demand of nursing staff in pension institutions in Ningbo[J]. Chin J Ge-rontol, 2018,38(18):4555-4557. | |
[12] | 童立纺, 宋延波, 王艳娇, 等. 老年人正式入住医养结合养老机构前服务沟通方式的改进[J]. 护理学杂志, 2019,34(12):5-8. |
Tong LF, Song YB, Wang YJ, et al. Improving customer communication before formal admission to medical-nursing elder care institution[J]. J Nurs Sci, 2019,34(12):5-8. | |
[13] | 陈申, 崔焱, 郑静, 等. 养老机构与居家失能老年人日常生活活动需求未满足状况的差异性研究[J]. 中华护理杂志, 2019,54(3):434-438. |
Chen S, Cui Y, Zheng J, et al. The differences in unmet needs of activities of daily living between disabled elderly people living in nursing homes and in families[J]. Chin J Nurs, 2019,54(3):434-438. | |
[14] | 郭晶, 张玲芝, 袁亚琴, 等. 医养结合居家医护服务体系的构建与管理[J]. 中华护理杂志, 2018,53(7):773-777. |
Guo J, Zhang LZ, Yuan YQ, et al. Construction and management of home care service system from the perspective of combination of medical care and nursing[J]. Chin J Nurs, 2018,53(7):773-777. | |
[15] | 刘金玲, 沈勤, 陈国伶, 等. 杭州市居家老年人家庭型医养护一体化服务需求及影响因素研究[J]. 中国护理管理, 2018,18(11):1485-1491. |
Liu JL, Shen Q, Chen GL, et al. The service requirements and related factors of the Integration of Medical Care,Elderly care and Nursing Care Model in community elderly in Hangzhou[J]. Chin Nurs Manag, 2018,18(11):1485-1491. | |
[16] | 乐晓平. 社区轻度认知功能障碍老年患者的三元联动康复干预[J]. 护理学杂志, 2018,33(16):93-94,108. |
Le XP. A three-pronged intervention mode for older community residents with mild cognitive impairment[J]. J Nurs Sci, 2018,33(16):93-94,108. | |
[17] | 袁丽, 张燕凌, 冯青峰, 等. 四元联动模式在军队糖尿病病人延续护理中的应用[J]. 护理研究, 2018,32(19):3140-3143. |
Yuan L, Zhang YL, Feng QF, et al. Application of four-element linkage model in continuing nursing of diabetic patients in the army[J]. Chin Nurs Res, 2018,32(19):3140-3143. | |
[18] |
Bray J, Atkinson T, Latham I, et al. Practice of Namaste Care for people living with dementia in the UK[J]. Nurs Older People, 2019,31(1):22-28.
URL PMID |
[19] | Schmidt RL, Hussong JW. Moriates C,arora V,shah N,eds. understanding value-based healthcare[J]. Am J Clin Pathol, 2016,145(3):428-429. |
[20] |
Gitlin LN, Piersol CV, Hodgson N, et al. Reducing neuropsychiatric symptoms in persons with dementia and associated burden in family caregivers using tailored activities:design and methods of a randomized clinical trial[J]. Contemp Clin Trials, 2016,49:92-102.
URL PMID |
[21] | 解恒革, 康丰娟. 痴呆患者的护理:老龄化社会的挑战与改善照护质量的可能途径[J]. 中国护理管理, 2019,19(9):1286-1289. |
Xie HG, Kang FJ. Dementia care:challenges and probable ways to improve care in an aging society[J]. Chin Nurs Manag, 2019,19(9):1286-1289. | |
[22] | Cahill S. WHO’s global action plan on the public health re-sponse to dementia:some challenges and opportunities[J]. Aging Ment Heal, 2020,24(2):197-199. |
[23] | 乐晓平. 三元联动干预模式在轻度老年性痴呆患者康复中的应用[J]. 暨南大学学报(自然科学与医学版), 2018,39(5):449-453. |
Yue XP. Application of intervention mode under three element linkage in rehabilitation of patients with light senile dementia[J]. J Jinan Univ Nat Sci Med Ed, 2018,39(5):449-453. | |
[24] | 邓宝凤, 罗昌春, 马艳红, 等. 139例住院痴呆患者安全事件分析[J]. 中国护理管理, 2015,15(11):1302-1306. |
Deng BF, Luo CC, Ma YH, et al. Analysis of safety incidents of 139 cases of hospitalized patients with dementia[J]. Chin Nurs Manag, 2015,15(11):1302-1306. | |
[25] | 曾文, 尹一桥. 澳门社区老年人初期失智症筛查分析[J]. 护理管理杂志, 2016,16(5):339-340. |
Zeng W, Yin YQ. Investigation on community-dwelling older adults with early dementia in Macau[J]. J Nurs Adm, 2016,16(5):339-340. | |
[26] | 刘霞, 江长缨, 陈利群. 社区失智老人照顾者积极感受及影响因素分析[J]. 护理学杂志, 2017,32(7):4-6. |
Liu X, Jiang CY, Chen LQ. The positive aspects of caregiving by caregivers of senile dementia patients living in the community and the influencing factors[J]. J Nurs Sci, 2017,32(7):4-6. | |
[27] | 童立纺, 赵庆华, 丁福, 等. 医养结合老年长期照护模式的探索与实践[J]. 护理研究, 2015,29(4):476-477,478. |
Tong LF, Zhao QH, Ding F, et al. Exploration and practice of eldely long term care mode of combination of medicine and Yanglao combination[J]. Chin Nurs Res, 2015,29(4):476-477, 478. | |
[28] | 方水芹, 侯进, 陆新建, 等. 家庭医生制度下IMPACT培训模式对居家长期照护者照护知识和技能的影响[J]. 护理研究, 2016,30(30):3744-3748. |
Fang SQ, Hou J, Lu XJ, et al. Influence of IMPACT training model based on family doctor system on care knowledge and skills of home long term caregiver[J]. Chin Nurs Res, 2016,30(30):3744-3748. | |
[29] |
Rostill H, Nilforooshan R, Morgan A, et al. Technology integrated health management for dementia[J]. Br J Community Nurs, 2018,23(10):502-508.
DOI URL PMID |
[30] | 周晓燕. 公办失能失智养老机构管理问题和对策研究[D]. 苏州:苏州大学, 2017. |
Zhou XY. Management problems and solutions of public disabled elderly care center—based on the elderly care center in Wuxi[D]. Suzhou:Soochow University, 2017. | |
[31] | 李红, 柯淑芬, 郑剑煌, 等. 福建省养老机构老年痴呆患者治疗性环境状况及其影响因素研究[J]. 中华护理杂志, 2015,50(5):526-531. |
Li H, Ke SF, Zheng JH, et al. The status of therapeutic environment for dementia patients in long-term care facilities in Fujian Province[J]. Chin J Nurs, 2015,50(5):526-531. | |
[32] | 王黎, 雷洋, 孙兆元, 等. 养老机构自理和半自理老年人护理服务框架及人员资质研究[J]. 中国护理管理, 2015,15(3):291-296. |
Wang L, Lei Y, Sun ZY, et al. Nursing service frame and minimum staffing qualification for independent living and assisted living elders in long-term care facilities[J]. Chin Nurs Manag, 2015,15(3):291-296. | |
[33] | 郑翠红, 陈楚, 李华萍, 等. 福建省74家公办养老机构照护人员职业状况调查与分析[J]. 中国护理管理, 2016,16(12):1661-1665. |
Zheng CH, Chen C, Li HP, et al. The professional status of staffs from 74 nursing homes in Fujian Province[J]. Chin Nurs Manag, 2016,16(12):1661-1665. | |
[34] | 徐凤麟, 孙建萍, 吴红霞, 等. 太原市养老机构老年人述情障碍现状及影响因素分析[J]. 中华护理杂志, 2018,53(8):990-995. |
Xu FL, Sun JP, Wu HX, et al. The status and influencing factors of alexithymia among institutionalized older people in Taiyuan[J]. Chin J Nurs, 2018,53(8):990-995. | |
[35] | 戴莉敏, 霍孝蓉, 莫永珍. 互联网+居家护理移动APP在中青年2型糖尿病病人中的应用及效果评价[J]. 护理研究, 2018,32(20):3207-3212. |
Dai LM, Huo XR, Mo YZ. Application and effect evaluation on Internet + home care mobile APP in patients with type 2 diabetes in young and middle-age[J]. Chin Nurs Res, 2018,32(20):3207-3212. | |
[36] | 李佳. 基于“互联网+”的医院-社区一体化慢性病管理模式在老年高血压病人中的应用[J]. 护理研究, 2019,33(7):1237-1240. |
Li J. Application of chronic disease management model of hospital community integration based on “Internet+” for elderly patients with hypertension[J]. Chin Nurs Res, 2019,33(7):1237-1240. | |
[37] | 赵晶晶, 王百灵, 于立敏, 等. 痴呆护理教育知识体系的构建[J]. 中华护理杂志, 2019,54(5):715-720. |
Zhao JJ, Wang BL, Yu LM, et al. Construction of nursing education knowledge system on dementia for geriatric practicing nurses[J]. Chin J Nurs, 2019,54(5):715-720. | |
[38] | 唐大雾, 李佳婧. 新加坡失智友好社区设计策略研究[J]. 建筑学报, 2018(S1):70-75. |
Tang DW, Li JJ. Research on the design strategy of Singapore’s retarded friendly community[J]. Archit J, 2018(S1):70-75. | |
[39] | 吴国柱, 丁晓沧, 庄晓伟, 等. 上海市静安区老年失智社区干预模式初探[J]. 上海预防医学, 2018,30(4):268-271. |
Wu GZ, Ding XC, Zhuang XW, et al. A preliminary study on community intervention mode for senile dementia in Jing’an District,Shanghai[J]. Shanghai J Prev Med, 2018,30(4):268-271. |
[1] | 金微, 肖琦, 杨凌艳, 曾铁英. 紧急剖宫产术后产妇心理健康问题的研究进展[J]. 中华护理杂志, 2021, 56(9): 1335-1339. |
[2] | 刘媛, 陈菲菲, 费文海, 徐红丽, 张家香, 林兴凤. 老年慢性病患者出院准备服务的研究进展[J]. 中华护理杂志, 2021, 56(9): 1420-1425. |
[3] | 赵茜, 钮美娥, 吴振云. 呼吸系统疾病患者正确掌握药物吸入技术的研究进展[J]. 中华护理杂志, 2021, 56(9): 1426-1430. |
[4] | 栾琳琳,丁敏,卢振玲,张娟,于乔文,杨丽娟. 虚拟现实技术在ICU危重症患者中的应用进展[J]. 中华护理杂志, 2021, 56(8): 1255-1260. |
[5] | 顾嘉鑫,王泠,刘晓黎,颜霞. 白血病患儿症状群评估工具的研究进展[J]. 中华护理杂志, 2021, 56(8): 1261-1266. |
[6] | 胥露,江智霞,鲁鑫,王颖,张芳. 早期功能锻炼预防ICU获得性衰弱的研究进展[J]. 中华护理杂志, 2021, 56(8): 1267-1271. |
[7] | 郜心怡,陈怡杨,温华,董诗奇,唐涵,陈长英. 安宁疗护护士沟通中角色功能及体验的研究进展[J]. 中华护理杂志, 2021, 56(7): 1093-1097. |
[8] | 李雪阳,宋润珞,陈海燕,孙妞妞,段真真,陈明霞,嵇艳. 护理领域中可信赖专业活动的范围综述[J]. 中华护理杂志, 2021, 56(7): 1098-1104. |
[9] | 江莹,黎万汇,陈莹莹,仝贝贝,康晓凤,于艳艳,刘亚平. 经外周静脉输注血管活性药物风险管理范围的综述[J]. 中华护理杂志, 2021, 56(7): 1105-1110. |
[10] | 李雪,李冬梅,胡紫燕,周瑶,平燕汝,许虹. 移动健康应用程序在失智症患者照护中的应用进展[J]. 中华护理杂志, 2021, 56(6): 942-947. |
[11] | 张诚霖,李青荷,吴翠干,张景. 乳腺癌患者自我报告结局评估工具的研究进展[J]. 中华护理杂志, 2021, 56(6): 948-951. |
[12] | 冷敏敏,赵雅洁,李立玉,李策,肖红梅,王志稳. 网络干预在痴呆老年人居家照护中应用的范围综述[J]. 中华护理杂志, 2021, 56(5): 694-698. |
[13] | 孙雪,王丽娜,沈鑫华,刘晓申,王思蒙. 信息化评估与监测技术在老年认知障碍人群筛查中的应用进展[J]. 中华护理杂志, 2021, 56(5): 699-704. |
[14] | 王恬,陆海英,王成浩,刘晓宇,韦蓉,单亚维. 老年糖尿病患者持续血糖监测的研究进展[J]. 中华护理杂志, 2021, 56(5): 705-709. |
[15] | 韩遵海,何茵,鹿振辉,石颖,靳瑾,王欣然. 危重症患者口渴护理的研究进展[J]. 中华护理杂志, 2021, 56(5): 782-785. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||