痴呆诊断的披露:益处和风险

P. T. Nandimath
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摘要

根据《2015年世界阿尔茨海默病报告》的估计,2015年全世界有4680万人患有痴呆症。2015-2050年期间,预计高收入国家的老年人数量将仅增长56%,中高收入国家增长138%,中低收入国家增长185%,低收入国家增长239%。确保早期诊断成为一项优先战略,使痴呆症患者及其护理人员受益。尽管情况有所改善,但目前在英国,大约三分之二的痴呆症患者没有得到正式的诊断。相比之下,在负担相当高的发展中国家和低收入国家没有明确的战略和优先事项。每个人都有“权利知道”痴呆症患者的诊断、病情、信息和建议。向痴呆症患者和他们的护理人员披露痴呆症诊断有相关的风险和益处。本文旨在批判性地检查披露痴呆诊断的风险和益处。我们进行了相关的文献检索,批判性地讨论了披露诊断的益处和风险。本文对披露的好处和风险进行了分类和批判性的讨论。作者的结论是,披露的好处大于披露的风险。披露诊断可以改善痴呆症患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disclosure of the diagnosis of dementia: Benefits and risks
According to the estimates in the World Alzheimer Report 2015, there are 46.8 million people living with dementia worldwide in 2015. The number of older people living in higher income countries is projected to increase by just 56%, 138% in upper middle income countries, and 185% in lower middle income countries and by 239% in low income countries, during 2015-2050. Ensuring early diagnosis becomes a priority strategy which benefits the person with dementia and their caregiver. Despite the improvements, currently in England approximately two thirds of the people with dementia do not have a formal diagnosis. In contrast there are no clear strategies and priorities in developing and low income countries where the burden is quite high. Everybody has a “right to know” about the diagnosis, condition, information, and advice available to the people with dementia. There are associated risks and benefits of disclosing a diagnosis of dementia, both to the person with dementia and their carer. This paper aims to critically examine risks and benefits of disclosing the diagnosis of dementia. A relevant literature search was conducted to critically discuss the benefits and risks of disclosure of diagnosis. The present paper has categorised and critically discussed the benefits and risks of disclosure. The author concludes that the benefits of disclosure outweigh the risks of disclosure. Disclosure of diagnosis can improve the quality of life of people with dementia.
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