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頁面建立日期
2018.10.08

頁面更新日期
2019.10.21

阿爾茨海默氏症 Alzheimer's Disease


簡介 Introduction

阿爾茨海默氏症(Alzheimer's Disease)是一種會影響認知功能的大腦慢性疾病,亦是一種最常見的認知障礙症,大部分患者都是65歲以上的長者。在患有阿爾茨海默氏症的病者中,他們的認知功能(例如記憶,學習能力,語言和判斷力)將逐漸惡化,並且影響他們的日常活動能力。善忘,反复詢問問題和經常忘記出席約會都是阿爾茨海默氏症的常見症狀。他們的認知能力會不斷下降,令他們的自理能力逐漸喪失。除了認知問題外,阿爾茨海默氏症的病者還會出現幻覺,妄想和躁動等行為和心理症狀,導致家人出現很大的壓力。不幸的是,現在的藥物和防預措施只能減緩疾病惡化,但無法治癒疾病。由於人口老齡化和人類的預期壽命延長,患有阿爾茨海默氏症的病者的人數將持續增加,並且為社會及醫療系統帶來沉重的影響。
Alzheimer's Disease is a progressive disease of our brain affecting the cognitive function. It is the most common types of dementia that commonly found in the older people. In the people with Alzheimer's Disease, their cognitive function (e.g. memory, learning capacity, language and judgment) will gradually deteriorate and also affect their activities of daily living. Forgetfulness, asking repeated questions and missing appointments frequently are the common symptoms in the people with Alzheimer's Disease. As the cognitive function progressively decline, their self-care ability will lose gradually. Apart from the cognitive problems, behavioural and psychological symptoms such as hallucination, delusion, and agitation are also presented in the people with Alzheimer's Disease resulting in a heavy caregiving burden among family caregivers. Unfortunately, the medications and interventions nowadays can only slow down the disease progression but cannot cure the disease. Because of the aging population and the increased life expectancy, the number of people with Alzheimer's Disease will keep increasing. The caring problems for the people with Alzheimer’s Disease will also create a heavy clinical and social impact on the society in the coming future.

作者/Author: Pui Kin Patrick Kor

新聞及政府資訊 News&Government Information

Knapton, S. (2016, 2016-02-15, December 23). Students should learn a second language to prevent dementia in later life. The Telegraph.
The article shared the new research findings in preventing the people from dementia. Studies have shown that certain types of dementia appear up to five years later for people who speak a second language compared with monolinguists.
引文
陳詠欣. (2018, 2018-06-10, December 23). 我有正能量:生命耆園 園藝治療延緩認知障礙. 東網.
這篇報導是有關本港的長者中心利用園藝治療協助患有認知障礙症的長者,以延緩他們認知功能的衰退。
引文
黎嘉慧. (2018, 2018-04-25, December 23). 認知障礙症影響記憶 、行為、情緒診斷莫遲疑. 明報健康網.
這是一篇有關認知障礙症的介紹,內容包括患者在不同階段的徵狀、診斷方法、不同種類的治療方法及對家人的建議。
引文

影視作品 Movie and TV Series

Glatzer, R. & Westmoreland, W. (2014). Still Alice.
It is an enlightening movie which explores the harsh reality of a person from both the physical and emotional effects of Alzheimer’s disease. Julianne Moore plays the role of Alice who is an acclaimed linguistics professor at Columbia University. The story starts off with Alice celebrating her 50th birthday with her husband, who is a successful scientist (Alec Baldwin), and three grown children. As the story progresses, Alice begins experiencing growing symptoms of Alzheimer’s Disease. At first she brushes the symptoms off as being absent-minded. Eventually, the symptoms of forgetting words, names, appointments and locations lead her to seek medical treatment from a neurologist.
引文
Polley, S. (2006). Away from Her.
The movie focuses on a couple whose marriage is tested when the wife begins to develop Alzheimer's disease and moves into a nursing home. In the nursing home, she loses virtually all memory of her husband and begins to develop a close relationship with another nursing home resident.
引文
管東銚等人. (2016). 幸運是我.
此電影講述了患有認知障礙症的芬姨(惠英紅飾)和生活窮迫的阿旭(陳家樂飾)兩個來自社會底層的陌生人,因一次偶遇而互相認識,無處容身的阿旭搬進了芬姨的家。面對患有認知障礙症的芬姨,阿旭不知如何應對,令他們在生活上產生了很多問題。
引文

學術文章 Academic Papers

Chiao, C. Y. et al. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review, 62(3), 340–350.
Caring the people with dementia is challenging and the family caregivers take up a lot caregiving tasks resulting high level of burden. This article identified the factors constituting caregiver burden on the family caregivers of people with dementia living in the community and discussed how to improve the quality of life of the caregivers.
引文
Williams, K. N. & Kemper, S. (2010). Interventions to reduce cognitive decline in aging. Journal of Psychosocial Nursing and Mental Health Services, 48(5), 42–51.
This article discussed different risk factors of cognitive decline in the older people and suggested a wide range of interventions such as cognitive training, physical activity, social engagement that reduced cognitive decline in aging.
引文

書籍 Books

Draper, B. (2013). Understanding Alzheimer’s disease and other dementias.
This book talks about different aspects about Alzheimer's Disease and other forms of dementia including their symptoms, assessment, diagnosis, different types of treatments and management. Taking into account the latest research, and ethical and legal issues, there is also some useful advice and ways to support relatives and carers.
引文
Jordan, M. (2013). The essential guide to avoiding dementia: Understanding the risks.
引文
東華三院渣打香港等人. (2018). 認知障礙症.生活攻略.
本書以最貼身的「衣食住行」為主題,講述一系列生活化的認知障礙症照顧方法、知識和訓練遊戲。撰文的專家還包括醫生、教授、中醫師、藥劑師等等,他們從不同的角度分享解決日常照顧認知障礙症患者的困難和智慧,讓家屬更理解患者「不合作」行為背後的原因及掌握更多照顧技巧。
引文
衞生署長者健康服務. (2016). 認知障礙症100問.
本書共分十四章,全面地與讀者探討認知障礙症的成因、診斷、治療、照顧、預防,以及社會上的支援等,並加插個案作解說,務求令内容更充實及具參考價值。
引文
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