痴呆症诊断缺乏意识和护理人员负担在一个多民族队列
Josh Martins-Caulfield1, Roshanak Mehdipanah2, Emily M Briceño1,3
1Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
Journal of general internal medicine
|January 14, 2025
概括
大多数痴呆症患者都不知道自己的诊断,尤其是墨西哥裔美国参与者. 缺乏诊断意识与护理人员负担或初级保健准入无关.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 以前的研究表明,患者和护理人员普遍缺乏对痴呆症的认识.
- 对于痴呆症诊断意识的种族差异及其与非正式护理人员负担的联系的理解有限.
研究的目的:
- 为了确定可能的痴呆症患者是否意识到他们的诊断,以及这种意识在墨西哥裔美国人和非西班牙裔白人人口之间如何变化.
- 检查初级保健医生和痴呆症诊断无意识之间的关联.
- 调查痴呆症诊断不知情和护理人员负担之间的关系.
主要方法:
- 一项基于人口的队列研究在德克萨斯州努埃塞斯县进行.
- 可能的痴呆症是由蒙特利尔认知评估 (MoCA) 分数低于20来定义的.
- 后勤回归和负二项回归模型用于分析种族,诊断不知情,初级保健准入和护理人员负担之间的关联.
主要成果:
- 相当多数 (81%) 符合条件的参与者不知道他们的痴呆症诊断.
- 与非西班牙裔白人参与者 (68%) 相比,墨西哥裔美国参与者 (85%) 更有可能不知道诊断.
- 缺乏诊断意识与护理人员负担或缺乏初级保健无关,但与较低的MoCA分数和更大的身体损伤有关.
结论:
- 在被研究的社区中,对痴呆症诊断的不认识非常普遍.
- 与非西班牙裔白人参与者相比,墨西哥裔美国参与者不意识到他们患有痴呆症的可能性更高.
- 没有发现获得初级保健和护理人员负担与痴呆症诊断的不认识有关.
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