在老年患者中管理医疗和精神病学多病症
David M Carlson1,2, Brandon C Yarns3,2
1Department of Psychiatry/Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Therapeutic advances in psychopharmacology
|September 4, 2023
概括
老龄化会影响健康,增加精神病和医疗疾病的风险. 对患有多种慢性疾病的老年人进行最佳护理需要了解生物,心理和社会因素,包括创伤和种族主义.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 老龄化与对精神病和医疗疾病的脆弱性增加有关.
- 多病症,即两个或两个以上慢性疾病的同时发生,在老年人中很常见.
- 传统的单一疾病方法不足以管理老龄化人口的复杂健康需求.
研究的目的:
- 审查导致老年人身体和精神多病症的多方面的因素.
- 强调需要以患者为中心,整体的方法来治疗患有多种慢性疾病的老年人.
- 突出生物,心理和社会健康决定因素在老龄化人口的相互联系.
主要方法:
- 文献综述综合了关于衰老,大脑变化和健康结果的研究.
- 分析疾病发展中的情绪,心理和社会因素之间的相互作用.
- 检查创伤和种族主义在衰老和多病症的背景下所扮演的角色.
主要成果:
- 与衰老相关的大脑变化,心理症状和社会决定因素对多病症有着显著的贡献.
- 创伤和种族主义被确定为影响老年人身体和精神健康的关键潜在因素.
- 在这种人口群体中,以患者为中心的整体方法对于有效管理复杂的健康状况至关重要.
结论:
- 对于患有精神病和医学多病症的老年人,有效的治疗需要对生物,心理和社会因素的综合理解.
- 解决创伤和种族主义等社会决定因素对于改善老龄化人口的健康结果至关重要.
- 未来的研究和临床实践应优先考虑老年多病症的整体和以患者为中心的护理模式.
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