痴呆症护理研究和心理社会因素
Steffany Chamut1, Denisse Chamut2, Saeideh Dadras3
1University of Colorado Anschutz Medical Campus, School of Dental Medicine, Aurora, CO, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
概括
糟糕的口腔健康与认知能力下降和阿尔茨海默氏症和相关痴呆症 (AD/ADRD) 有关. 将口腔健康纳入痴呆症护理是预防和干预策略的关键.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 糟糕的口腔健康 (OH) 与全身炎症,神经退行和认知衰退有关,突出显示了口腔和大脑健康的联系.
- 阿尔茨海默病和相关痴呆症 (AD/ADRD) 不成比例地影响着老龄化人口,预计到2050年病例将增加三倍,需要将OH纳入痴呆症护理实践和研究 (DCPaR).
研究的目的:
- 突出口腔和大脑健康之间的关键但未被充分探索的联系.
- 为了强调由于AD/ADRD负担日益增加,迫切需要将OH纳入DCPaR.
- 解决当前研究的差距,例如健康和衰老大脑研究-健康差异 (HABS-HD),缺乏直接的OH措施.
主要方法:
- 要解决口腔和认知健康之间的双向关系,必须采取多学科的方法.
- 将OH纳入DCPaR符合更广泛的健康公平目标,解决获得护理的差异.
- 卫生公平学者计划 (HESP) 培养了多元化,有文化能力的劳动力来研究和治疗AD/ADRD.
主要成果:
- 慢性口腔感染和口腔微生物组失调有助于全身炎症,可能加速AD/ADRD的进展.
- 认知能力下降会损害一个人维持OH的能力,造成健康恶化的循环.
- 项目"探索神经和间接生物标志物与口腔健康的潜在关联:跨学科方法"推动了将OH纳入DCPaR的努力.
结论:
- 将OH纳入DCPaR对于开发针对性的干预措施和对老龄人口的预防性护理至关重要.
- 目前尚无治疗AD/ADRD的方法,因此预防和早期干预至关重要.
- 将OH纳入DCPaR将提高对其在AD/ADRD进展中的作用的理解,改善结果,并促进公平的老年医疗保健.
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