患者、护理伙伴和初级保健医生对轻度认知障碍和轻度阿尔茨海默病痴呆管理的看法

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Stephen Brunton, Jeremy J Pruzin, Susan Alford, Carol Hamersky, Anup Sabharwal, Ganesh Gopalakrishna
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引用次数: 1

摘要

目的:早期诊断轻度认知障碍(MCI)和轻度阿尔茨海默病(AD)痴呆对于有效的疾病管理和优化患者预后至关重要。我们试图从患者、护理伙伴和医生的角度更好地了解轻度认知障碍和轻度AD痴呆的医疗历程。方法:我们于2021年在美国对患者/护理伙伴和医生进行了在线调查。结果:103名46-90岁的全因MCI或轻度AD痴呆患者、150名全因MCI或轻度AD痴呆患者的护理伙伴和301名医生(其中101名是初级保健医生,[pcp])完成了调查。大多数患者/护理伙伴报告说,在与医疗保健专业人员交谈之前,经历了健忘(71%)和短期记忆丧失(68%)。大多数患者(73%)在症状出现15个月后与PCP进行了首次讨论。然而,分别只有33%和39%的患者接受了PCP的诊断和治疗。大多数(74%)pcp认为自己是MCI和轻度AD痴呆患者的护理协调员。超过三分之一(37%)的患者/护理伙伴将pcp视为护理协调员。结论:pcp在MCI和轻度AD痴呆的及时诊断和治疗中发挥着至关重要的作用,但往往不被视为护理协调者。对于大多数患者,与PCP的初步讨论发生在症状出现15个月后;因此,教育患者/护理伙伴和pcp关于MCI和AD的危险因素、早期症状识别以及早期诊断和治疗的必要性是很重要的。pcp可以通过建立他们对早期AD诊断和治疗需求的理解,并通过作为护理协调员提高患者医疗旅程的效率,从而改善患者的护理和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives of patients, care partners, and primary care physicians on management of mild cognitive impairment and mild Alzheimer's disease dementia.

Objectives: Early diagnosis of mild cognitive impairment (MCI) and mild Alzheimer's disease (AD) dementia is crucial for effective disease management and optimizing patient outcomes. We sought to better understand the MCI and mild AD dementia medical journey from the perspective of patients, care partners, and physicians.

Methods: We conducted online surveys in the United States among patients/care partners and physicians in 2021.

Results: 103 patients with all-cause MCI or mild AD dementia aged 46-90 years, 150 care partners for someone with all-cause MCI or mild AD dementia, and 301 physicians (101 of which were primary care physicians, [PCPs]) completed surveys. Most patient/care partners reported that experiencing forgetfulness (71%) and short-term memory loss (68%) occurred before talking to a healthcare professional. Most patients (73%) followed a common medical journey, in which the initial discussion with a PCP took place 15 months after symptom onset. However, only 33% and 39% were diagnosed and treated by a PCP, respectively. Most (74%) PCPs viewed themselves as coordinators of care for their patients with MCI and mild AD dementia. Over one-third (37%) of patients/care partners viewed PCPs as the care coordinator.

Conclusions: PCPs play a vital role in the timely diagnosis and treatment of MCI and mild AD dementia but often are not considered the care coordinator. For the majority of patients, the initial discussion with a PCP took place 15 months after symptom onset; therefore, it is important to educate patients/care partners and PCPs on MCI and AD risk factors, early symptom recognition, and the need for early diagnosis and treatment. PCPs could improve patient care and outcomes by building their understanding of the need for early AD diagnosis and treatment and improving the efficiency of the patient medical journey by serving as coordinators of care.

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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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