老年共病患者在诊疗中面临的问题及应对策略  

Challenges and Solutions for Elderly Patients with Multimorbidity during Receiving Management in China

作　　者：闫巍[1] 王杰萍[1] 张洪波[1] 吴薇[1] 王斐 张洁[2] 张新焕[2] 朱钟慧 YAN Wei;WANG Jie-ping;ZHANG Hong-bo;WU Wei;WANG Fei;ZHANG Jie;ZHANG Xin-huan;ZHU Zhong-hui(Department of General Practice,Fuxing Hospital,Capital Medical University,Beijing 100038,China;Geriatric Department,Fuxing Hospital,Capital Medical University,Beijing 100038,China;School of Public Health,Capital Medical University,Beijing 100069,China;Beijing Key Laboratory of Environmental Toxicology,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属复兴医院全科医学科,北京市100038 [2]首都医科大学附属复兴医院综合科,北京市100038 [3]首都医科大学公共卫生学院,北京市100069 [4]首都医科大学环境毒理学北京市重点实验室,北京市100069

出　　处：《中国全科医学》2018年第3期261-264,共4页Chinese General Practice

基　　金：首都医科大学基础-临床科研合作基金(16JL59)

摘　　要：当前我国已经进入老龄化社会,老年多病共存现状为老年人健康管理提出挑战。老年共病患者疾病种类多,病情复杂,多合并衰弱、营养不良、失能等,需要多重用药。当合并急性心脑血管疾病、感染、消化道出血等疾病时,病情出现恶化,预后不佳。本文总结了老年共病现状、临床特点以及老年共病患者就诊中存在的问题,指出迫切需要大力发展全科医学,培养全科理念,对患者加强宣教,鼓励自我管理,为老年共病患者提供个性化的综合健康管理措施。Aging society is coming at present and it is a challenge to cope with the situation of multimorbidity of the aged in China.Elderly patients with multimorbidity often have two or more complex diseases accompanied by frailty,malnutrition,or developmental disabilities,and need polypharmacy treatment.Moreover,they are prone to complicated states and poor prognosis when combined with acute cardiovascular and cerebrovascular diseases,infection,gastrointestinal bleeding or other diseases.Based on the status and clinical characteristics of these patients as well as the challenges they meet during receiving management,we proposed the following solutions:energetically develop general medicine;culture the service ideas of general practice in health care providers;facilitate related health education and encourage self-management among these patients;deliver tailor-made comprehensive health management interventions.

关 键 词：共病现象 老年人 策略 实验性 全科医学 

分 类 号：R363[医药卫生—病理学]