Carolyn K Clevenger, Jennifer H Lingler, Yuchen Zhang, Sheila Seleri, M Laura Parnas, Katherine Youmans-Kidder
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引用次数: 0
摘要
阿尔茨海默病（AD）是一种进行性神经退行性疾病。治疗方法包括疾病改变疗法（DMTs），研究表明，在疾病早期阶段开始使用这种疗法最为有效。因此，及时诊断 AD 非常重要，因为 DMT 有可能延长该病患者可接受的生活质量。本范围界定综述介绍了执业护士（NPs）目前在 AD 护理中的作用，并描述了 NPs 目前和未来在及时诊断和管理 AD 方面可能发挥的作用。通过对 PubMed 和 CINAHL 数据库进行系统检索，我们发现了 15 篇相关文章。文献综述显示，NPs 在认知障碍的初步评估中发挥了积极作用；然而，NPs 自主诊断和治疗 AD 的证据尚缺。本文介绍了增强非专业人员自主作用的若干机会，这些机会可减少阻碍及时诊断和管理注意力缺失症的障碍。
Role of nurse practitioners in comprehensive alzheimer's disease care: Barriers and opportunities for timely diagnosis.
Alzheimer's disease (AD) is a progressive neurodegenerative disease. Treatments include disease-modifying therapies (DMTs), which studies showed are most effective when initiated during the early disease stages. Timely AD diagnosis is therefore important, as DMTs can potentially extend an acceptable quality of life for people with this condition. This scoping review presents the current role of nurse practitioners (NPs) in AD care and describe the current and potential future role NPs can play in timely AD diagnosis and management. A systematic search of the PubMed and CINAHL databases identified 15 relevant articles. The literature review revealed that NPs play an active role in the initial assessment of cognitive disorders; however, there is a lack of evidence for NPs acting autonomously to diagnose and treat AD. Several opportunities to increase the autonomous role of NPs are described, which could reduce barriers to timely AD diagnosis and management.
期刊介绍：
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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