认知障碍的老年驾驶员:"这是一个非常令人丧的生活"
1Department of Medicine, Washington University in St Louis, and The Rehabilitation Institute of St Louis, St Louis, Missouri 63017, USA. dcarr@im.wustl.edu
JAMA
|April 29, 2010
概括
鉴于缺乏标准化的方法,评估认知障碍的老年人驾驶健康是具有挑战性的. 需要采取全面的方法来确保痴呆症司机的安全和维持生活质量.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 汽车是老年人的主要交通工具.
- 晚年认知障碍和痴呆症可能会影响安全驾驶能力.
- 目前用于评估认知障碍老年人驾驶健康的方法是不一致的.
研究的目的:
- 审查认知障碍驾驶的挑战.
- 总结有关痴呆症和驾驶安全的文献.
- 讨论基于证据的评估和老年司机的伦理考虑.
主要方法:
- 关于痴呆症和驾驶的文献综述.
- 评估工具的讨论:医生评估,神经心理测试,功能查和驾驶诊所.
- 探索道德,法律和流动性咨询方面的问题.
主要成果:
- 对于认知障碍的老年人驾驶健康状况的评估,没有达成共识.
- 临床医生面临着来自各种利益相关者的要求来评估驾驶能力.
- 建议采用综合,跨学科的方法进行评估.
结论:
- 有效的评估需要整合医疗,功能和驾驶特定评估.
- 对于已经不能开车的老年人来说,移动性咨询至关重要.
- 跨学科的策略可以提高安全,社会联系和生活质量.
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