Online ISSN: 3007-0244,
Print ISSN:  2410-4280
CURRENT PRACTICE IN CARING FOR PEOPLE WITH DEMENTIA
Abstract Introduction. The increasing of the prevalence of dementia worldwide makes it a public health priority. This is due to the growing number of elderly populations around the world. The lack of research on dementia identified in Kazakhstan. Aim: to study the current practice of care in primary healthcare (PHC) facilities for people with dementia in Almaty city. Materials and methods. At the first stage, the number of registered cases with dementia in Almaty was analyzed. The data were obtained from the National Scientific Center for Health Development, Almaty branch. At the second stage, interviews were conducted with primary health care specialists on the provision of assistance to the target group. 12 PHC professionals involved in interviewing. Results. From 2019 to 2023 the number of vascular dementia as well as Early or late onset Alzheimer's dementia is on the rise, whereas the Dementia in other diseases classified elsewhere decreased. The main barrier to providing care to people with dementia is related to the insufficient qualifications of primary care specialists, as well as the lack of screening for dementia among the adult population. There are no cognitive tests currently used for screening dementia in PHC, although they are effective in assessing it. Conclusion. In Almaty, there is an increasing prevalence of dementia, which requires additional training for PHC specialists on early screening of the condition. Additionally, further research is needed in the future to revise the model of care for people with dementia at the PHC level and to raise public awareness.
Saltanat Byltash1, https://orcid.org/0009-0001-1367-7788 Marzhan Brimzhanova1, https://orcid.org/0000-0003-3517-4687 Nazgul Akhtayeva2, https://orcid.org/0000-0002-0835-9814 Nurgul Alekenova3, https://orcid.org/ 0000-0001-5751-1678 Lyazzat Kosherbayeva2,4, https://orcid.org/0000-0001-8376-4345 Eleonora Nurbaulina3, https://orcid.org/0000-0003-0124-2848
1. Aliya Naheed, Maliha Hakim, Md Saimul Islam, Badrul Islam, Eugene Y.H., Tang Abdul, Alim Prodhan, Mohammad Robed Amin, Blossom C.M. Stephan, Quazi Deen Mohammad Prevalence of dementia among older age people and variation across different sociodemographic characteristics: a cross-sectional study in Bangladesh The Lancet Regional Health - Southeast Asia 2023. 17: 100257 Published Online 24 August 2023 https://doi.org/10. 1016/j.lansea.2023. 100257 2. Alsalem Z.A., Alghathber N.M., Alowain F.S., Alqahtani M.S., Alharbi N.G. Dementia Knowledge Among Primary Healthcare Physicians in Riyadh, Saudi Arabia. Cureus. 2024 May 26. 16(5):e61112. doi: 10.7759/cureus.61112. 3. Arvanitakis Z., Shah R.C., Bennett D.A. Diagnosis and Management of Dementia: Review. JAMA. 2019 Oct 22;322(16):1589-1599. doi: 10.1001/jama.2019.4782 4. Callahan C.M., Boustani M.A., Unverzagt F.W., Austrom M.G., Damush T.M., Perkins A.J., Fultz B.A., Hui S.L., Counsell S.R., Hendrie H.C. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA, 2006. 295 (18), 2148-2157. 5. Cao Q., Tan C.C., Xu W., Hu H., Cao X.P., Dong Q., Tan L., Yu J.T. The Prevalence of Dementia: A Systematic Review and Meta-Analysis. J Alzheimers Dis. 2020. 73(3):1157-1166. doi: 10.3233/JAD-191092 6. Emmady P.D., Schoo C., Tadi P. Major Neurocognitive Disorder (Dementia) [Updated 2022 Nov 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557444/ 7. Fernandes B., Goodarzi Z, Holroyd-Leduc J. Optimizing the diagnosis and management of dementia within primary care: a systematic review of systematic reviews. BMC Fam Pract. 2021 Aug 11. 22(1):166. doi: 10.1186/s12875-021-01461-5. 8. Gale S.A., Acar D., Daffner K.R. Dementia. Am J Med. 2018 Oct. 131(10):1161-1169. doi: 10.1016/j.amjmed.2018.01.022. 9. GBD 2019 Dementia Forecasting Collaborators. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health. 2022 Feb;7(2):e105-e125. doi: 10.1016/S2468-2667(21)00249-8. 10. Niu H., Álvarez-Álvarez I., Guillén-Grima F., Aguinaga-Ontoso I. Prevalence and incidence of Alzheimer's disease in Europe: A meta-analysis. Neurologia. 2017 Oct;32(8):523-532. English, Spanish. doi: 10.1016/j.nrl.2016.02.016. 11. Ogbuagu C., Uwakwe R., Kahn J.G., Ogbuagu E., Emelumadu O., Okereke U., Okeke I., Chigbo G., Okoye O. Primary health care providers knowledge of dementia and cognitive assessment tools for elderly populations in Southeast Nigeria: A pilot survey. SAGE Open Med. 2023 Oct 14;11. doi: 10.1177/20503121231204224. 12. Sideman A.B., Ma M., Hernandez de Jesus A., Alagappan C., Razon N., Dohan D., Chodos A., Al-Rousan T., Alving L.I., Segal-Gidan F., Rosen H., Rankin K.P., Possin K.L., Borson S. Primary Care Pracitioner Perspectives on the Role of Primary Care in Dementia Diagnosis and Care. JAMA Netw Open. 2023 Sep 5. 6(9):e2336030. doi: 10.1001/jamanetworkopen.2023.36030. Erratum in: JAMA Netw Open. 2023 Oct 2;6(10):e2342418. doi: 10.1001/jamanetworkopen.2023.42418. 13. Thomas D.W., Yeshmanova A., Akanova A., Umutbayeva G., Abikulova A., Chaikovska V. Development of a memory center for older adults in Almaty, Kazakhstan: Innovative Practice. Dementia (London). 2017 Jul. 16(5):665-672. doi: 10.1177/1471301216636491 14. van Voorden G., Koopmans R.T., Smalbrugge M., Zuidema S.U., van den Brink A., Persoon A., Oude Voshaar R.C., Gerritsen D.L. Well-being, multidisciplinary work and a skillful team: essential elements of successful treatment in severe challenging behavior in dementia. Aging Ment Health. 2023 Nov-Dec. 27(12):2482-2489. doi: 10.1080/13607863.2023.2169248. 15. Vipin A., Satish V., Saffari S.E., Koh W., Lim L., Silva E., Nyu M.M., Choong T.M., Chua E., Lim L., Ng A.S.L., Chiew H.J., Ng K.P., Kandiah N. Dementia in Southeast Asia: influence of onset-type, education, and cerebrovascular disease. Alzheimers Res Ther. 2021 Nov 30. 13(1):195. doi: 10.1186/s13195-021-00936-y. 16. Woods B., Aguirre E., Spector A.E., Orrell M. Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev. 2012 Feb 15. (2):CD005562. doi: 10.1002/14651858.CD005562.pub2. 17. Zholdassova Zh.A. Theoretical prediction of the prevalence of dementia in Republic of Kazakhstan. Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 5, pp. 161-173. doi 10.34689/SH.2021.23.5.017
Количество просмотров: 957

Ключевые слова: Dementia, primary care, assistance, health policy.


Библиографическая ссылка

Byltash S., Brimzhanova M., Faizullina K., Akhtayeva N., Alekenova N., Kosherbayeva L., Nurbaulina E. Current practice in caring for people with dementia // Nauka i Zdravookhranenie [Science & Healthcare]. 2024. Vol.26 (5), pp. 115-120. doi 10.34689/SH.2024.26.5.015

Авторизируйтесь для отправки комментариев