新型冠状病毒肺炎防控期间认知障碍患者及其照护者精神卫生与心理社会支持专家建议  

Expert recommendations on mental health and psychosocial support for persons with cognitive disorders and their caregivers during the COVID-19 outbreak

作　　者：无 李涛[6] 张明[7] 张海峰[6] 解恒革[8] 孙永安[9] 王华丽[6] 于欣[6] 

机构地区：[1]中国老年医学学会精神医学与心理健康分会 [2]中国老年保健协会阿尔茨海默病分会 [3]中华医学会精神医学分会老年精神病学组 [4]中国医师协会精神科医师协会老年精神病学工作组 [5]中国心理卫生协会老年心理卫生专业委员会 [6]北京大学第六医院,痴呆诊治转化医学研究北京市重点实验室 [7]中山大学附属第三医院 [8]解放军总医院第二医学中心 [9]北京大学第一医院

出　　处：《中华精神科杂志》2020年第2期89-94,共6页Chinese Journal of Psychiatry

摘　　要：新型冠状病毒肺炎疫情给公众,尤其是老年人身体和心理都造成了巨大影响。老年认知障碍患者不仅是易感人群,也容易出现心理应激反应,甚至有诱发和加重精神行为症状的风险。其照护者在疫情期间面临更大的照护负担,可能心理应激反应更明显。国内多个老年精神医学与认知障碍相关学术团体联合制定专家建议,针对疫情期间认知障碍患者和照护者可能出现的心理应激反应以及患者已有精神行为问题的波动特点,提出多学科团队进行精神卫生和心理社会干预的策略,指导疫情期间为认知障碍患者提供诊疗及照护的相关人员开展全程管理。The epidemic of COVID-19 has a great impact on the physical and mental health of the public,especially the older people.Older people with cognitive disorders are not only susceptible to the virus infection,but also prone to psychological stress reaction.Even the risk of precipitating and aggravating behavior and psychological symptoms of dementia(BPSD)would be increased.During the COVID-19 outbreak,caregivers of persons with cognitive disorders face greater caregiving burden and may have stronger psychological stress response.Several Chinese societies and associations relevant to geriatric psychiatry and cognitive disorders jointly formulated the expert recommendations.In view of the possible psychological stress response of persons with cognitive disorders and caregivers as well as the fluctuation of the pre-existing BPSD during the outbreak,the strategy for providing multidisciplinary mental health and psychosocial support was proposed to guide the continuous clinical care.It will ultimately support the relevant staff to provide continuum care of dementia.

关 键 词：认知障碍 精神卫生 专家共识 社会支持 新型冠状病毒肺炎 

分 类 号：R74[医药卫生—神经病学与精神病学] R5[医药卫生—临床医学]