老年性抑郁症心理护理的探讨与对策

近年来,老年性抑郁症的患病率呈逐年上升趋势,已成为严重影响老年人精神健康的主要因素之一。对32例老年性抑郁症进行心理护理,提示正确的健康教育及心理护理是治疗成功的重要保证。     

运动锻炼治疗血管性痴呆的分子机制研究进展

文章主要运用文献资料法,就运动锻炼对治疗血管性痴呆的分子机制研究进行综述。认为运动锻炼可以抗自由基损伤、抑制细胞凋亡、改善血管活性物质、调节神经递质、调控基因表达对治疗血管性痴呆有着积极的影响。     

Overlaps of multiple database retrieval and citation tracking in dementia care research: a methodological study

Objective:We aimed to determine overlaps and optimal combination of multiple database retrieval and citation tracking for evidence synthesis, based on a previously conducted scoping review on facilitators and barriers to implementing nurse-led interventions in dementia care.Methods:In our 2019 scoping review, we performed a comprehensive literature search in eight databases (CENTRAL, CINAHL, Embase, Emcare, MEDLINE, Ovid Nursing Database, PsycINFO, and Web of Science Core Collection) and used citation tracking. We retrospectively analyzed the coverage and overlap of 10,527 retrieved studies published between 2015 and 2019. To analyze database overlap, we used cross tables and multiple correspondence analysis (MCA).Results:Of the retrieved studies, 6,944 were duplicates and 3,583 were unique references. Using our search strategies, considerable overlaps can be found in some databases, such as between MEDLINE and Web of Science Core Collection or between CINAHL, Emcare, and PsycINFO. Searching MEDLINE, CINAHL, and Web of Science Core Collection and using citation tracking were necessary to retrieve all included studies of our scoping review.Conclusions:Our results can contribute to enhancing future search practice related to database selection in dementia care research. However, due to limited generalizability, researchers and librarians should carefully choose databases based on the research question. More research on optimal database retrieval in dementia care research is required for the development of methodological standards.     

老年期痴呆患者血中氧自由基反应的相关指标

为探讨氧自由基与老年痴呆发生发展的关系,分别测定了２７例阿尔采默型霉年期痴呆,２７例多发梗塞性痴呆患者和３７例同龄的健康老年人血清中超氧化物歧化酶及其同功酶活性和ＬＰＯ含量。结果显示：ＳＤＡＴ和ＭＩＤ患者的Ｔ－ＳＯＤ,ＣｕＺｎ－ＳＯＤ活性和ＬＰＯ含量均显著高于同龄的对照组,其中ＣｕＺｎ－ＳＯＤ的异常阳性率最高,达５９．３％;Ｔ－ＳＯＤ,ＣｕＺｎ－ＳＯＤ在不同病程的三组间有显著差异。     

论我国现代社会中的“职业的痴呆”

中国现代社会中的职业的痴呆是一种社会发展的必然产物,是物的依赖关系社会发展形态中的一种社会现象。这是由物的依赖关系社会中人对物的依赖、存在旧式分工和教育的特点决定的。随着社会生产力的发展,社会主义社会和自由社会之间完成了更替,个人实现了自由个性的全面发展,职业的痴呆也必将随之消失。     

护理干预56例轻中度血管性痴呆患者的临床观察

目的探讨护理干预对轻、中度血管性痴呆患者的影响。方法将56例轻、中度血管性痴呆患者采用在一般护理的基础上予心理、康复等干预。结果对轻中度血管性痴呆患者采取综合护理干预方法,效果满意。结论护理干预可提高血管性痴呆患者的认知功能、智能和日常活动能力,对疾病康复有积极的促进意义。     

成年人监护制度的理念与立法选择

本文提出并分析了我国现行精神病人监护制度面临的社会背景问题和制度本身问题;从借鉴的角度,介绍分析了以德国为代表的法定监护型、以英国为代表的意定监护型、以日本为代表的混合型三种典型立法模式,面向我国立法归纳总结了成年人监护制度的三大新理念和我国的五大立法选择性课题,即尊重本人的自己决定权、重视人身监护、维持本人生活平常化等新理念和制度的利用对象、立法模式的选择、法定监护的方式、意定监护、构建国家社会支持体系等课题.     

Making a difference: using action research to explore our educational practice

This paper describes and discusses an action research collaboration between a multi-disciplinary team of practice educators, a practice development nurse and a university lecturer in order to explore, evaluate and improve a dementia care training package developed for a range of staff providing care for people with dementia. Whilst it is recognised that the findings of this small evaluation study are only of local interest, we believe the approach we took to be of general use for other teams of practice educators as a way of exploring and evaluating their own practice. This paper will therefore focus mostly on the philosophy, methodology and conduct of the study, including our own reflections and learning as novice action researchers.     

太极柔力球运动治疗老年性痴呆的实验研究

目的：探讨太极柔力球运动治疗老年性痴呆的效果。方法：将40名老年痴呆患者随机分为实验组20人和对照组20人,其中,实验组在专业人员的带领下进行8个月的太极柔力球运动;对照组进行慢跑。8个月后,对两组患者的认知能力和日常生活能力进行对比研究。结果：实验组患者认知能力和日常生活能力均有所改善,实验后简易智能精神状态量表（MMSE）和日常生活能力量表（ADL）评分与实验前相比有非常显著性差异（P＜0.01）;对照组简易智能精神状态量表（MMSE）和日常生活能力量表（ADL）评分没有显著性差异（P＞0.05）。结论：太极柔力球运动对治疗老年性痴呆有很好的效果,是一项符合老年人的运动,老年人应积极参加该项体育运动。     

Memory Cafés and Dementia-Friendly Libraries: Management Considerations for Developing Inclusive Library Programs

Abstract

Memory Cafés bring services to families and individuals experiencing memory loss, mild cognitive impairment, early Alzheimer’s, or other dementias. Memory Cafés situated in libraries are designed to be safe, engaging, and welcoming gathering spaces. These equalizing opportunities provide mind-stimulating activities and respond to the growing need to create dementia-friendly library environments. The aim of this article is to highlight management considerations for creating Memory Cafés. Issues such as building community partners, budgeting, planning, library staff training, and marketing are highlighted. Overall, Memory Cafés can be inclusive library spaces for people experiencing different phases of memory loss and their care partners.