Dementia prevention, intervention, and care.
Dementia prevention, intervention, and care.
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DOI：
10.1016/s0140-6736(17)31363-6
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发表时间：
2017-12-16
期刊：
影响因子：
--
通讯作者：
Mukadam, Naaheed
中科院分区：
文献类型：
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作者：
Livingston, Gill;Sommerlad, Andrew;Mukadam, Naaheed
现在采取行动预防痴呆症，干预和护理将大大改善痴呆症患者及其家人的生活和死亡，并在这样做的过程中，将改变社会的未来。 痴呆症是世纪全球卫生和社会保健面临的最大挑战。它主要发生在65岁以上的人群中，因此，在世界范围内，由于过早死亡人数减少，寿命延长，导致人数和成本增加。《柳叶刀》痴呆症预防、干预和护理委员会召开会议，巩固已经取得的巨大进步，以及关于我们应该做些什么来预防和管理痴呆症的新知识。 在全球范围内，2015年约有4700万人患有痴呆症，预计到2050年这一数字将增加两倍。痴呆症影响到患有这种疾病的人，他们逐渐失去能力，以及他们的亲属和其他支持者，他们必须科普看到家庭成员或朋友生病和衰退，同时应对他们的需求，例如增加依赖性和行为变化。此外，它还影响到更广泛的社会，因为痴呆症患者也需要健康和社会护理。据估计，2015年全球痴呆症的成本为8180亿美元，随着痴呆症患者人数的增加，这一数字将继续增加。近85%的费用与家庭和社会护理有关，而不是医疗护理。未来的新医疗保健，包括公共卫生措施，可能会取代并可能减少部分成本。
Acting now on dementia prevention, intervention, and care will vastly improve living and dying for individuals with dementia and their families, and in doing so, will transform the future for society. Dementia is the greatest global challenge for health and social care in the 21st century. It occurs mainly in people older than 65 years, so increases in numbers and costs are driven, worldwide, by increased longevity resulting from the welcome reduction in people dying prematurely. The Lancet Commission on Dementia Prevention, Intervention, and Care met to consolidate the huge strides that have been made and the emerging knowledge as to what we should do to prevent and manage dementia. Globally, about 47 million people were living with dementia in 2015, and this number is projected to triple by 2050. Dementia affects the individuals with the condition, who gradually lose their abilities, as well as their relatives and other supporters, who have to cope with seeing a family member or friend become ill and decline, while responding to their needs, such as increasing dependency and changes in behaviour. Additionally, it affects the wider society because people with dementia also require health and social care. The 2015 global cost of dementia was estimated to be US$818 billion, and this figure will continue to increase as the number of people with dementia rises. Nearly 85% of costs are related to family and social, rather than medical, care. It might be that new medical care in the future, including public health measures, could replace and possibly reduce some of this cost.