Medical and social problems of geriatrics patients.

M. V. Tchikovskaya, D. G. Gubin, A.Yu. Moshkina, M.E. Martirosyan, I.I. Tchikovskaya, Zh.V. Kuimova, E. V. Anisiforova, D. A. Elfimov, A. P. Gerasimova, V. V. Epreva
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Abstract

Introduction. Currently, the demographic situation is characterized by a serious increase in the aging of the population. Life expectancy is an important indicator that determines the level of public health and socio-economic development of the country, which depends on a number of biological and social factors. Geriatric patients are a category of people in need of medical and social assistance. Much has been done in the Russian Federation to improve the quality of life of older people in order to increase life expectancy. Active longevity is an important aspect of the health and social services system. The aim is to study the medical and social problems of geriatric patients in the historical aspect. Materials and methods. The analysis of Russian-language and English-language literature of domestic and foreign authors was carried out in order to verify the medical and social problems of the elderly and determine methods for helping this category of patients. PRISMA data was used to compile the review. Results. Based on the analysis of scientific literature materials, 3 categories of problems in geriatric patients were identified: decreased mental and physical abilities; geriatric syndromes; support for caregivers. Based on these categories, the following subcategories were identified: Decreased mental and physical abilities (loss of mobility; malnutrition; visual impairment; hearing impairment; cognitive impairment; symptoms of depression); geriatric syndromes: (urinary incontinence; risk of falls); support for caregivers. Discussions. The main goal of public health according to the WHO concept of healthy aging is to maintain functioning throughout the life cycle. Taking measures at an early stage plays a crucial role, since the process of senile decrepitude or dependence on outside help can be delayed, slowed down or even partially reversed if appropriate measures are taken at an early stage of reduced functionality. Conclusions. Geriatric patients are a serious medical and social problem that should be solved by: medical workers, government officials, psychologists, social services, volunteers, scientists, relatives of patients.
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老年病人的医疗和社会问题。
介绍。当前,人口形势呈现出人口老龄化严重加剧的特点。预期寿命是决定国家公共卫生和社会经济发展水平的一个重要指标,这取决于若干生物和社会因素。老年病人是需要医疗和社会援助的一类人。俄罗斯联邦在改善老年人的生活质量以延长预期寿命方面做了大量工作。积极长寿是卫生和社会服务体系的一个重要方面。目的是从历史的角度研究老年患者的医学和社会问题。材料和方法。对国内外作者的俄语和英语文献进行了分析,以核实老年人的医疗和社会问题,并确定帮助这类患者的方法。本综述采用PRISMA数据编制。结果。通过对科学文献资料的分析,确定了老年患者存在的3类问题:精神和身体能力下降;老年综合症;对照顾者的支持。基于这些类别,确定了以下子类别:智力和身体能力下降(活动能力丧失;营养不良;视力损害;听力障碍;认知障碍;抑郁症的症状);老年综合征:(尿失禁;跌倒风险);对照顾者的支持。讨论。根据世卫组织健康老龄化的概念,公共卫生的主要目标是在整个生命周期中保持功能。在早期阶段采取措施起着至关重要的作用,因为如果在功能下降的早期阶段采取适当措施,可以延缓、减缓甚至部分逆转老年衰老或依赖外界帮助的过程。结论。老年患者是一个严重的医疗和社会问题,应该由医务工作者、政府官员、心理学家、社会服务机构、志愿者、科学家、患者亲属来解决。
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