老年心脏病学:成年期的到来
Parag Goyal1, Min Ji Kwak2, Christina Al Malouf3
1Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
JACC. Advances
|September 14, 2023
概括
照顾患有心血管疾病 (CVD) 的老年人需要解决多个健康领域. 本综述概述了老年心脏病学的5个关键原则,以优化患者的护理和结果.
科学领域:
- 老年心脏病学 老年心脏病学
- 老年人的心血管疾病.
背景情况:
- 患有心血管疾病 (CVD) 的老年人面临复杂的健康挑战,包括与年龄有关的生理变化,多病症,多药性,认知衰退和功能限制.
- 这些因素在为老年人群提供有效的心血管疾病护理方面造成了重大复杂性.
- 老年心脏病学领域已经出现,以解决这些独特的患者需求.
研究的目的:
- 审查老年心脏病学的历史和演变.
- 为优化老年人心血管疾病 (CVD) 护理提出五个基本原则.
- 讨论在这个日益增长的人口群体中改善护理的未来方向.
主要方法:
- 本综述综合了关于老年心脏病学和老年人心血管疾病管理的现有文献.
- 它概述了一个基于患者为中心的护理的五个核心原则的框架.
- 该审查讨论了各种健康领域和患者特定因素在临床决策中的整合.
主要成果:
- 老年心脏病学承认老年心脏病患者的多方面的需求.
- 提出了五个关键原则:解决多重复杂性,整合认知和身体功能评估,纳入社会决定因素,并与患者优先级调整护理.
- 这些原则旨在加强心血管疾病护理的提供.
结论:
- 对于老年人来说,有效的心血管疾病护理需要一种整体的,以老年为中心的方法.
- 整合多重复杂性,认知,身体功能,社会因素和患者目标对于量身定制的管理至关重要.
- 未来的战略应集中在最大限度地为心血管疾病老年人群提供护理.
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