摘要
失智症(又名认知症、痴呆症)是一种进行性中枢神经系统退行性病变,主要表现为慢性、进行性认知功能减退及记忆力和语言能力的丧失,随着病情进展会给患者及其家庭造成巨大的疾病和经济负担。随着全球人口老龄化趋势加剧,失智症发病率逐年上升,失智症老年人的长期照护呈现刚性需求。以往,我国对失智症老年人长期照护的研究模式多借鉴国外经验,近年来倾向于对失智症老年人群规模、宏观经济负担等预测研究,但缺乏对失智症老年人长期照护成本测算及其研究方法的系统梳理,对于失智症预防干预效果评价研究鲜有涉及。本文在概述国内外失智症老年人长期照护体系现状的同时,系统梳理了国内外失智症老年人长期照护成本及预防干预策略、方式及评价研究,为探索构建新时代失智症老年人长期照护体系提供循证依据。
Dementia(also known as cognitive impairment)is a progressive degenerative disease of central nervous system,characterized by chronic and progressive cognitive decline,loss of memory and language ability.As the global population ages,the incidence of dementia is increasing year by year,and the long-term care of elderly dementia patients presents a rigid demand.In the past,China′s research on long-term care of elderly dementia patients has largely drawn on foreign experience,and in recent years,it has tended to predict the size of the elderly dementia population,macroeconomic burden,etc.,but there is a lack of systematic analysis of the cost estimation and research methods of long-term care for elderly dementia patients,and there is little research on the evaluation of the effectiveness of dementia preventive interventions.This article provided a systematic overview of the current situation of long-term care for elderly dementia patients at home and abroad,and systematically sorted out the cost and preventive intervention strategies,methods,and evaluation research of long-term care for elderly dementia patients at home and abroad,in order to provide evidence-based basis for exploring the construction of a new era of long-term care system for elderly dementia patients.
作者
朱培嘉
张良文
方亚
ZHU Peijia;ZHANG Liangwen;FANG Ya(Center for Health Economic Policy and Geriatric Health,School of Public Health,Xiamen University,Xiamen 361102,China;Key Laboratory of Health Technology Assessment of Fujian Province,School of Public Health,Xiamen University,Xiamen 361102,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2024年第1期98-102,共5页
Chinese Journal of Public Health
基金
国家自然科学基金(81973144)
福建省社会科学基金(FJ2022C047)
2021年度高端科技创新智库青年项目(2021ZZZLFZB1207146)
关键词
失智症
老年人
长期照护
预防干预
dementia
elderly people
long-term care
preventive interventions
