在早期阿尔茨海默病患者中寻求医疗帮助的意图
Alberto Villarejo-Galende1, Elena García-Arcelay2, Gerard Piñol-Ripoll3
1Department of Neurology, Hospital Universitario 12 de Octubre, Instituto de Investigación Imas12, Universidad Complutense de Madrid, Madrid, Spain.
Frontiers in psychiatry
|January 4, 2024
概括
许多早期阿尔茨海默病 (AD) 患者寻求医疗帮助,通常是从神经病学家那里. 像女性性别,更高的意识和更强的症状感知等因素与寻求帮助有关.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 认知科学 认知科学
背景情况:
- 在早期阿尔茨海默氏症 (AD) 中,对寻求医疗帮助行为的理解有限.
- 确定影响寻求帮助的因素的重要性,以便及时诊断和干预.
研究的目的:
- 调查早期阿尔茨海默病患者积极寻求医疗帮助的现象.
- 确定与该人口中寻求医疗帮助相关的人口和临床因素.
主要方法:
- 多中心,非干预性研究,涉及149名年龄在50-90岁的患有前进性或轻度AD的患者.
- 纳入标准:迷你精神状态检查 (MMSE) 评分≥22和临床痴呆评分-全球评分 (CDR-GS) 0.5-1.0.
- 使用多变量逻辑回归分析来识别相关因素.
主要成果:
- 63.1%的患者寻求医疗帮助,主要是来自神经病学家.
- 寻求帮助与女性,更高的诊断意识,更差的生活质量,抑郁症状和更大的感知疾病严重程度有关.
- 缺乏寻求帮助与男性性别,教育年限较短,诊断意识较低和情绪影响感知较低有关.
结论:
- 了解寻求帮助的行为对于开发改善早期AD检测策略至关重要.
- 针对教育程度较低,条件不良的个人可能需要有针对性的干预措施.
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