以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (23): 28-31.doi: 10.16460/j.issn1008-9969.2021.23.028

• 文献研究 • 上一篇    下一篇

痴呆患者就医延迟现状及影响因素的研究进展

昝畅, 周莹, 张琼琼, 汤胜男, 丁梓曦, 王庆妍   

  1. 徐州医科大学 护理学院,江苏 徐州 221006
  • 收稿日期:2021-06-13 出版日期:2021-12-10 发布日期:2022-01-11
  • 通讯作者: 王庆妍（1988-）,女,天津人,博士研究生,讲师。E-mail：wqy0513@163.com
  • 作者简介:昝畅（1992-）,女,江苏徐州人,本科学历,硕士研究生在读。
  • 基金资助:
    江苏省教育厅高等学校哲学社会科学研究项目（2019SJA0944）; 江苏省研究生科研与实践创新计划（SJCX21_1158）; 江苏省自然科学基金资助项目（BK20201016）

  • Received:2021-06-13 Online:2021-12-10 Published:2022-01-11

PDF (PC)

258

赞

摘要： 目的 对国内外痴呆患者就医延迟现状及影响因素进行综述,为今后开展痴呆患者就医相关研究提供参考,为制定促进痴呆患者就医的有效干预措施提供依据。方法 通过检索中国知网、万方、维普、PubMed、Embase、Web of Science等数据库,回顾国内外痴呆患者就医相关文献,对纳入的相关研究内容进行提取与归纳。结果 不同国家和地区的痴呆患者就医延迟的时间均较长,出现症状至就医的时间在1.77~2.40年。就医延迟的影响因素包括：痴呆类型、疾病症状、疾病相关知识及信息、病耻感、就医态度、医疗保健系统的形象、认知相关基层医疗服务资源和跨文化差异。患者年龄、家族史、受教育程度、居住状况、财务状况对就医延迟的影响尚无一致结论。结论 痴呆患者就医延迟现象严重、影响因素繁杂,未来的研究应进一步考虑因素间的相互作用关系,为构建干预方案提供理论基础。

关键词: 痴呆, 家庭, 就医延迟, 就医行为

中图分类号: 

  • R473.74
[1] Claveau JS, Presse N, Kergoat MJ, et al.The Lost Years: Delay Between the Onset of Cognitive Symptoms and Clinical Assessment at a Memory Clinic[J]. Can Geriatr J, 2018,21(2):152-156.
[2] Devoy S, Simpson E.Help-seeking Intentions for Early Dementia Diagnosis in a Sample of Irish Adults[J].Aging Ment Health, 2017,21(8):870-878.
[3] Xu J, Wang J, Wimo A, et al.The Economic Burden of Dementia in China, 1990-2030: Implications for Health Policy[J]. Bull World Health Organ, 2017,95(1):18-26.
[4] 李明士, 邓小岚, 葛兆霞. 164例老年痴呆患者主要照顾者哀伤现状及影响因素分析[J]. 护理学报, 2021,28(2):52-57.
[5] Zhao M, Lv X, Tuerxun M, et al.Delayed Help Seeking Behavior in Dementia Care: Preliminary Findings From the Clinical Pathway for Alzheimer’s Disease in China (CPAD) Study[J]. Int Psychogeriatr, 2016,28(2):211-219.
[6] Werner P, Goldstein D, Karpas DS, et al.Help-seeking for Dementia: A Systematic Review of the Literature[J]. Alzheimer Dis Assoc Disord, 2014,28(4):299-310.
[7] Parker M, Barlow S, Hoe J, et al.Persistent Barriers and Facilitators to Seeking Help for a Dementia Diagnosis: A Systematic Review of 30 Years of the Perspectives of Carers and People with Dementia[J]. Int Psychogeriatr, 2020,32(5):1-24.
[8] Feldman L, Wilcock J, Thuné-Boyle I, et al.Explaining the Effects of Symptom Attribution by Carers on Help-seeking for Individuals Living with Dementia[J]. Dementia (London), 2017,16(3):375-387.
[9] Chrisp TAC, Thomas BD, Goddard WA, et al.Dementia Timeline: Journeys, Delays and Decisions on the Pathway to an Early Diagnosis[J]. Dementia, 2011,10(4):555-570.
[10] Leung KK, Finlay J, Silvius JL, et al.Pathways to Diagnosis: Exploring the Experiences of Problem Recognition and Obtaining a Dementia Diagnosis among Anglo-canadians[J]. Health Soc Care Community, 2011,19(4):372-381.
[11] Jia L, Du Y, Chu L, et al.Prevalence, Risk Factors, and Management of Dementia and Mild Cognitive Impairment in Adults Aged 60 Years or Older in China: A Cross-sectional Study[J]. Lancet Public Health, 2020, 5(12):e661-e671.
[12] World Health Organization. Dementia[EB/OL]. (2020-09-21)[2020-12-07].https://www.who.int/zh/news-room/fact-sheets/detail/dementia.
[13] Mattos MK, Nilsen ML, Lingler JH.Experiences Surrounding an Early-stage Cognitive Diagnosis in Rural-dwelling Older Adults[J]. Res Gerontol Nurs, 2018,11(4):181-189.
[14] Hurt CS, Burns A, Brown RG, et al.Why Don’t Older Adults with Subjective Memory Complaints Seek Help?[J]. Int J Geriatr Psychiatry, 2012,27(4):394-400.
[15] Begum A, Whitley R, Banerjee S, et al.Help-seeking Response to Subjective Memory Complaints in Older Adults: Toward a Conceptual Model[J]. Gerontologist, 2013,53(3):462-473.
[16] Zheng YB, Shi L, Gong YM, et al.Public Awareness and Knowledge of Factors Associated with Dementia in China[J]. BMC Public Health, 2020,20(1):1567.
[17] 滕丽新, 黄希庭, 陈本友. 英国老年人心理健康服务体系的现状及启示[J]. 西南大学学报(社会科学版), 2009,35(3):18-23.
[18] Sagbakken M, Spilker RS, Nielsen TR.Dementia and Immigrant Groups: A Qualitative Study of Challenges Related to Identifying, Assessing, and Diagnosing Dementia[J]. BMC Health Serv Res, 2018,18(1):910.
[19] 陈晓春, 张杰文, 贾建平, 等. 2018中国痴呆与认知障碍诊治指南(一):痴呆及其分类诊断标准[J]. 中华医学杂志, 2018,98(13):965-970.
[20] Koehn S, Mccleary L, Garcia L, et al.Understanding Chinese-canadian Pathways to a Diagnosis of Dementia Through a Critical-constructionist Lens[J]. J Aging Stud, 2012,26(1):44-54.
[21] Mukadam N, Waugh A, Cooper C, et al.What Would Encourage Help-seeking for Memory Problems among UK-based South Asians? A Qualitative Study[J]. BMJ Open, 2015,5(9):e7990.
[22] Lian Y, Xiao LD, Zeng F, et al.The Experiences of People with Dementia and Their Caregivers in Dementia Diagnosis[J]. J Alzheimers Dis, 2017,59(4):1203-1211.
[23] Jackson S.Caregivers’ Perceptions of an Early Diagnosis of Alzheimer’s Disease in African Americans[D]. Minneapolis:Walden University, 2016.
[24] Rydberg ST, Dahlin-Ivanoff S, Gudmundsson P, et al.‘I Wanted to Talk about It, but I Couldn’t’, an H70 Focus Group Study about Experiencing Depression in Early Late Life[J]. BMC Geriatr, 2020,20(1):528.
[25] 郑佳映, 陈雪萍. 老年期痴呆症与抑郁相关性[J]. 中国老年学杂志, 2018,38:2039-2041.
[26] Gove D, Downs M, Vernooij-Dassen M, et al.Stigma and GPs’ Perceptions of Dementia[J]. Aging Ment Health, 2016,20(4):391-400.
[27] Chrisp TA, Tabberer S, Thomas BD, et al.Dementia Early Diagnosis: Triggers, Supports and Constraints Affecting the Decision to Engage with the Health Care System[J]. Aging Ment Health, 2012,16(5):559-565.
[28] McCleary L, Persaud M, Hum S, et al. Pathways to Dementia Diagnosis among South Asian Canadians[J]. Dementia (London), 2013,12(6):769-789.
[29] Mukadam N, Cooper C, Basit B, et al.Why Do Ethnic Elders Present Later to UK Dementia Services? A Qualitative Study[J]. Int Psychogeriatr, 2011,23(7):1070-1077.
[30] 王伟, 谭淑慧, 张斌, 等. 加强基层医务工作者对痴呆的识别与诊治是中国痴呆防控的关键[J]. 中国全科医学, 2021,24(6):637-642.
[31] Ortiz F, Fitten LJ.Barriers to Healthcare Access for Cognitively Impaired Older Hispanics[J]. Alzheimer Dis Assoc Disord, 2000,14(3):141-150.
[32] Sayegh P, Knight BG.Cross-cultural Differences in Dementia: The Sociocultural Health Belief Model[J]. Int Psychogeriatr, 2013,25(4):517-530.
[1] 魏利, 赵兴颖, 刘佳, 何雨璇, 陈晓梅, 杨雪, 鲜继淑, 杨燕妮. 神经外科重症住院患者家庭照顾者照顾负担及影响因素分析[J]. 护理学报, 2025, 32(2): 1-6.
[2] 谭丘羽, 邓一芯, 冀婉倩, 王冬华. 农村老年人自我刻板化与主观记忆抱怨在自我感知老化与痴呆恐惧间的链式中介效应[J]. 护理学报, 2025, 32(1): 56-61.
[3] 曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78.
[4] 郑晓婷, 田霞, 王峥, 肖文莉. King达标理论在慢性病家庭护理中应用的范围综述[J]. 护理学报, 2024, 31(5): 56-60.
[5] 曾辉, 史艳茹, 李琦, 董艳, 徐远平, 梁苗苗. 666名军队医院护士医学叙事能力现状及影响因素分析[J]. 护理学报, 2024, 31(5): 73-78.
[6] 张可, 欧阳丽, 吴成慧, 廖秋燕, 谭玲玲, 朱维晔. 特定型语言障碍儿童语言发育水平的影响因素及路径分析[J]. 护理学报, 2024, 31(4): 7-11.
[7] 刘璇, 蓝玉清, 李梦如, 王小惠, 钟雪梅, 周文. 住院老年性痴呆患者跌倒预防的最佳证据总结[J]. 护理学报, 2024, 31(4): 54-59.
[8] 郑硕, 张卫青, 吴雅萱, 王鑫媛, 法宪恩, 宋洁露, 曹雅冰. 基于Q方法分析痴呆患者家庭照顾者对虚拟护理支持的偏好研究[J]. 护理学报, 2024, 31(3): 1-5.
[9] 李明哲, 田一川, 王成龙, 王晶晶. 社会网络在智能手机使用与老年人孤独感的因果中介作用[J]. 护理学报, 2024, 31(20): 45-49.
[10] 高超越, 李敏, 陈一萍, 张培莉. 工作压力在ICU护士职场排斥与家庭贬损间的中介效应[J]. 护理学报, 2024, 31(14): 24-27.
[11] . 智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介作用[J]. 护理学报, 2024, 31(12): 54-58.
[12] . 晚期老年痴呆患者合十礼护理方案的构建[J]. 护理学报, 2024, 31(12): 68-72.
[13] 梅凌寒, 周雁荣, 张舵, 王萧萧, 王兰, 赵娅, 赵睿怡. 简版自我分化量表的汉化及其在主动脉夹层患者中应用的信效度检验[J]. 护理学报, 2024, 31(11): 1-5.
[14] 詹娜妮, 王雅琪, 唐丽, 卜凡, 吕启圆. 5 280名老年人主观记忆障碍现状及影响因素研究[J]. 护理学报, 2024, 31(1): 22-26.
[15] 何旭斌, 宦宗素, 杜娜, 刘娇, 秦瑗, 吴冬梅, 岳玉川. 青少年非自杀性自伤主要照顾者真实体验质性研究的Meta整合[J]. 护理学报, 2024, 31(1): 46-51.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!