中国现代神经疾病杂志 ›› 2021, Vol. 21 ›› Issue (4): 250-254. doi: 10.3969/j.issn.1672-6731.2021.04.005

• 专题综述 • 上一篇    下一篇

2 阿尔茨海默病患者生前伦理学问题

王金涛, 任汝静, 王刚   

  1. 200025 上海交通大学医学院附属瑞金医院神经科
  • 收稿日期:2021-04-08 出版日期:2021-04-25 发布日期:2021-04-27
  • 通讯作者: 王刚,Email:wg11424@rjh.com.cn
  • 基金资助:

    上海市教委高峰高原计划——研究型医师(项目编号:20172001);上海市"医苑新星"青年医学人才培养资助计划(项目编号:沪卫计人事[2019]72号)

The ethical issues of patients with Alzheimer's disease during their lifetime

WANG Jin-tao, REN Ru-jing, WANG Gang   

  1. Department of Neurology, Ruijin Hospital, Shanghai Jiaotong University, Shanghai 200025, China
  • Received:2021-04-08 Online:2021-04-25 Published:2021-04-27
  • Supported by:

    This study was supported by Shanghai Municipal Education Commission——Gaofeng Clinical Medicine Grant Support (No. 20172001) and Shanghai "Rising Stars of Medical Talent" Youth Development Program-Outstanding Youth Medical Talents (No. [2019]72).

摘要:

阿尔茨海默病作为一种慢性神经系统退行性病变,以认知功能进行性减退为主要特征,其高发病率、沉重的社会负担,以及广泛的人群涉及,使得疾病的伦理问题日益突显。本文聚焦阿尔茨海默病的一些伦理细节,包括疾病诊断告知、负面消息告知、预先指示、临终关怀和舒缓医疗、驾驶权力。这些问题启示医疗人员应充分了解和尊重患者,充分实现患者及其家属的应有权利,与患者及其家属一起制定适宜的治疗方案,共同提高治疗与管理水平;同时也应提高对预先指示、临终关怀等理念的宣教,树立合理的健康治疗管理观念。

关键词: 阿尔茨海默病, 伦理学, 医学, 预先指示, 临终关怀和姑息治疗护理, 汽车驾驶, 综述

Abstract:

Alzheimer's disease (AD) is a chronic progressive degenerative disease with gradually decreasing cognition. Because of the high prevalence, heavy social burden and wide interaction with others, the ethical issues are increasingly prominent. This article focuses on the details, such as disclosing diagnosis, breaking bad news, advance directives, hospice care and palliative care, and driving. From these issues, as a medical staff, we should know and respect our patients and their families sufficiently. We should make a reasonable treatment with patients and their families for a better outcome. At the same time, more propaganda about advance directives and hospice care should be taken for a healthier perception.

Key words: Alzheimer disease, Ethics, medical, Advance directives, Hospice and palliative care nursing, Automobile driving, Review