doi:10.3761/.issn.0254-1769.2019.04.025

Abstract

Key words: Aged, Dementia, Hospice Care, Review

摘要：

对开展老年痴呆患者安宁疗护的必要性、影响因素进行综述,提出实施老年痴呆患者安宁疗护的策略,包括：完善症状管理措施、推进预立医疗照护计划的实施、建立健全安宁疗护相关法律政策、推进中医安宁疗护,旨在为老年痴呆患者安宁疗护的发展提供参考。

关键词: 老年人, 痴呆, 安宁疗护, 综述

刘珍,张艳,余自娟,王荣华,赵敬,李宏洁,杜灿灿,田雨同. 老年痴呆患者安宁疗护的研究进展[J]. 中华护理杂志, 2019, 54(4): 598-602.

References 42

[1]	Fukui T.Historical review of academic concepts of dementia in the world and Japan:with a short history of representative diseases[J]. Neurocase,2014,21(3):369-376.
[2]	李峥. 老年痴呆相关概念辨析[J]. 中华护理杂志,2011,46(10):1045.
[3]	Gaugler J,James B,Johnson T,et al.2016 Alzheimer's disease facts and figures[J]. Alzheimers Dement,2016,12(4):459-509. DOI URL
[4]	Montgomery W,Goren A,Kahlewrobleski K,et al.Detection,diagnosis,and treatment of Alzheimer's disease dementia stratified by severity as reported by caregivers in Japan[J]. Neuro-psychiatr Dis Treat,2018,14:1843-1854. DOI URL
[5]	王粲霏,贾会英,吴珂,等. 多学科协作模式在安宁疗护中的应用研究进展[J]. 中华护理杂志,2018,53(7):866-872.
[6]	Hanson LC,Kistler CE,Lavin K,et al.Triggered palliative care for late-stage dementia:a pilot randomized trial[J]. J Pain Sym-ptom Manage,2019,57(1):10-19. DOI URL
[7]	World Health Organization. Global atlas of palliative care at the end of life[EB/OL].(2014-01-01)[2018-11-03].
[8]	Wachterman MW,Pilver C,Smith D,et al.Quality of end-of-life care provided to patients with different serious illnesses[J]. JAMA InternMed,2016,176(8):1095-1020.
[9]	Arcand M.End-of-life issues in advanced dementia:part 2:management of poor nutritional intake,dehydration,and pneumonia[J]. Can Fam Physician,2015,61(4):337-341.
[10]	Steen JTVD,Lukas R,Hertogh CMPM,et al.White paper defi-ning optimal palliative care in older people with dementia:a Delphi study and recommendations from the European Association for Palliative Care[J]. Palliat Med,2014,28(3):197-209. DOI URL
[11]	Dewing J,Dijk S.What is the current state of care for older people with dementia in general hospitals? A literature review[J]. Dementia,2016,15(1):106-124. DOI URL
[12]	Yates E,Mitchell SL,Habtemariam D,et al.Interventions associated with the management of suspected infections in advanced dementia[J]. J Pain Symptom Manage,2015,50(6):806-813. DOI URL
[13]	McCallion P,Hogan M,Santos FH,et al. Consensus statement of the international summit on intellectual disability and dementia related to end-of-life care in advanced dementia[J]. J Appl Res Intellect Disabil,2017,30(6):1160-1164. DOI URL
[14]	Bartley MM,Suarez L,Shafi RMA,et al.Dementia care at end of life:current approaches[J]. Curr Psychiatry Rep,2018,20(7):50. DOI
[15]	Connors MH,Ames D,Boundy K,et al.Predictors of mortality in dementia:the primestudy[J]. J Alzheimers Dis,2016,52(3):967-974. DOI URL
[16]	Mccallion P,Hogan M,Santos FH,et al.Consensus statement of the international summit on intellectual disability and dementia related to end-of-life care in advanced dementia[J]. J Appl Res Intellect Disabil,2017,30(6):1160-1164. DOI URL
[17]	Mitchell SL,Miller SC,Teno JM,et al.The advanced dementia prognostic tool:a risk score to estimate survival in nursing home residents with advanced dementia[J]. J Pain Sym-ptom Manage,2010,40(5):639-651. DOI URL
[18]	Brown MA,Sampson EL,Jones L,et al.Prognostic indicators of 6-month mortality in elderly people with advanced dementia:a systematic review[J]. Palliative Medicine,2012,27(5):389-400.
[19]	Berg BVD,Brouwer WBF,Koopmanschap MA.Economic valuation of informal care[J]. Health Economics,2004,5(1):36-45.
[20]	Tarter R,Demiris G,Pike K,et al.Pain in hospice patients with dementia:the informal caregiver experience[J]. Am J Alz-heimers Dis Other Demen,2016,31(6):524-529. DOI URL
[21]	罗羽,张慧兰. 国内外死亡教育发展现状分析与展望[J]. 护理管理杂志,2018,18(3):175-179.
[22]	迟西琴,迟品伟. 论死亡教育中的死亡认知原则导向问题[J]. 医学与哲学,2016,37(15):77-80.
[23]	Chen IH,Lin KY,Hu SH,et al.Palliative care for advanced dementia:knowledge and attitudes of long-term care staff[J]. J Clin Nurs,2017,27(3/4):848-858.
[24]	Kassa H,Murugan R,Zewdu F,et al.Assessment of knowledge,attitude and practice and associated factors towards palliative care among nurses working in selected hospitals,Addis Ababa,Ethiopia[J]. BMC Palliat Care,2014,13(1):6. DOI
[25]	World Hospice Pallitive care Association.WHO global atlas on palliat care at the end of life[EB/OL]. (2017-07-24)[2018-11-20]. http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care.
[26]	Flo E,Gulla C,Husebo BS.Effective pain management in pa-tients with dementia:benefits beyond pain?[J]. Drugs Aging,2014,31(12):863-871. DOI URL
[27]	Lichtner V,Dowding D,Esterhuizen P,et al.Pain assessment for people with dementia:a systematic review of systematic reviews of pain assessment tools[J]. Bmc Geriatr,2014,14(1):138. DOI URL
[28]	van der Steen JT,Ooms ME,van der Wal G,et al. Pneumonia:the demented patient's best friend? Discomfort after starting or withholding antibiotic treatment[J]. J Am Geriatr Soc, 2002,50(10):1681-1688. DOI URL
[29]	van der Steen JT,Pasman HR,Ribbe MW,et al. Discomfort in dementia patients dying from pneumonia and its relief by antibiotics[J]. Scand J Infect Dis,2013,41(2):143-151.
[30]	Mitchell SL,Teno JM,Kiely DK,et al.The clinical course of advanced dementia[J]. N Engl J Med,2009,361(16):1529-1538. DOI URL
[31]	Committee AGSE.American Geriatrics Society feeding tubes in advanced dementia position statement[J]. J Am Geriatr Soc,2014,62(8):1590-1593. DOI URL
[32]	Sato S,Kakamu T,Hayakawa T,et al.Predicting falls from be-havioral and psychological symptoms of dementia in older people residing in facilities[J]. Geriatr Gerontol Int,2018, 18(11):1573-1577. DOI URL
[33]	Reus VI,Fochtmann LJ,Eyler AE,et al.The American Psychiatric Association Practice Guideline on the use of antipsychotics to treat agitation or psychosis in patients with dementia[J]. Am J Psychiatry,2016,173(5):536-543. DOI URL
[34]	Resnick B,Kolanowski A,Haitsma KV,et al.Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia: protocol for a pragmatic trial[J]. Res Nurs Health,2018,41(3):228-242. DOI URL
[35]	王心茹,绳宇. 预立医疗照护计划在肿瘤患者中的应用进展[J]. 中华护理杂志,2019,52(2):306-310.
[36]	Addressin COAD.Dying in America:improving quality and ho-noring individual preferences near the end of life[J]. Mil Med,2015,180(4):365-367. DOI URL
[37]	Blake M,Doray ON,Sinclair C.Advance care planning for people with dementia in western Australia:an examination of the fit between the law and practice[J]. Psychia Psychol Law,2017,31:198-218.
[38]	Nicholas LH,Bynum JPW,Iwashyna TJ,et al.Advance directives and nursing home stays associated with less aggressive end-of-life care for patients with severe dementia[J]. Health Affairs,2014,33(4):667-674. DOI URL
[39]	陈殷正,刘郁孚,蔡蕙珊,等. 安宁缓和医疗条例回顾与探讨[J]. 医学与健康期刊,2016,5(1):25-34.
[40]	国家卫生计生委办公厅. 关于印发安宁疗护实践指南(试行)的通知[EB/OL]. (2017-01-25)[2018-12-01]. http://www.moh.gov.cn/yzygj/s3593/201702/83797c0261a94781-b158dbd76666b717.shtml.
[41]	陆宇晗. 我国安宁疗护的现状及发展方向[J]. 中华护理杂志,2017,52(6):659-664.
[42]	侯丽,王寅,吴洁雅,等. 中医药在安宁疗护中的应用[J]. 医学与哲学(B),2018,39(4):26-29.

老年痴呆患者安宁疗护的研究进展

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 42

Related Articles 15

Recommended Articles

Metrics

[1]	HUANG Panpan, LI Liling, HU Xiaojing. Research progress of early exercise rehabilitation in infants with congenital heart disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1050-1055.
[2]	ZHOU Miao, CHEN Xing, PENG Fei, SUN Shangxue, LI Yangyang. Systematic review of risk prediction instruments for central line associated bloodstream infections in ICU patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1132-1139.
[3]	PENG Yingjie, LIU Aihong, ZHU Wenli, MEI Yuxin, ZHOU Meng, GUAN Wenjing. Systematic review of readiness assessment tools for advance care planning in older adults [J]. Chinese Journal of Nursing, 2025, 60(9): 1146-1153.
[4]	RAN Lingxiao, WANG Dongmin, XU Ke, WANG Cong, CAO Hua, CUN Wei, JIANG Yan. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1012-1018.
[5]	JIN Yujia, JIANG Hu, WANG Xiaoxuan, YI Jingna, MEI Yongxia, GUO Zhiting, ZHANG Zhenxiang, LIN Beilei. Application of information-based risk communication in primary prevention of cardiovascular diseases：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1019-1025.
[6]	TAN Yuting, ZHANG Zhixia, XU Mengli, GUO Peiran, XIAO Qin, QIAO Linru, SONG Feiyun, YU Qiaojun. Relationship between autonomous rehabilitation behavior and related symptoms of middle-aged stroke patients [J]. Chinese Journal of Nursing, 2025, 60(7): 773-778.
[7]	FENG Weiqing, CHEN Yanbo, CAI Huan, RUAN Jiahui, HE Xiuxian, LI Kun. A scoping review of the longitudinal studies on post stroke fatigue [J]. Chinese Journal of Nursing, 2025, 60(7): 799-805.
[8]	WU Liping, XIAO Lina, LAI Hanqing, HUANG Qian, GUO Xuan, ZHOU Xun. Qualitative study on the experience of fall alertness in elderly patients with rheumatoid arthritis [J]. Chinese Journal of Nursing, 2025, 60(7): 836-841.
[9]	HE Mengxin, CHEN Defeng, LI Bei, DONG Xuhui, LI Jiabao, YANG Yang, XU Yaokai, LIANG Yueyu. Intelligent interactive cognitive-motor training for fall prevention in older adults：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(7): 884-889.
[10]	ZHOU Nan, ZHI Shihan, WANG Meng, ZHANG Hui, ZHANG Lihong, LUO Maoyu, HE Ying, GU Wei. The scope of application of sexual dysfunction intervention in cervical cancer patients and nursing inspira-tion [J]. Chinese Journal of Nursing, 2025, 60(7): 890-897.
[11]	TANG Nan, GAO Yuan, SU Qingqing, SONG Mi, QIU Chen, SHAO Mengqi. An analysis influencing factors of subsequent fracture among elderly osteoporotic patients and nursing countermeasures [J]. Chinese Journal of Nursing, 2025, 60(6): 710-716.
[12]	HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu. Application of eye tracking techniques in ICU patients with aphasia：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(6): 757-763.
[13]	LI Haijiao, WEI Dongshuai, WANG Ruiyan, LIU Rongxun, ZHANG Chaofeng, JIA Jie, WEI Yange. The application progress of music intervention in nursing of patients with psychiatric disorders [J]. Chinese Journal of Nursing, 2025, 60(6): 764-768.
[14]	FU Qin, ZHANG Xiumin, HOU Ming, WANG Caihong, LI Xiaomei, MAO Yongqin, LI Ping. Effect of somatosensory exercise based on artificial intelligence technology in home pulmonary rehabilitation of elderly patients with COPD [J]. Chinese Journal of Nursing, 2025, 60(5): 517-524.
[15]	JIANG Sishan, CHENG Qinqin, LUO Tingwei, ZHANG Na, GUO Junchen, LI Dongya, LI Dandan, ZHU Lihui. A systematic review of quality assessment tools for pediatric palliative care based on COSMlN guidelines [J]. Chinese Journal of Nursing, 2025, 60(5): 611-618.