智能障礙者老化：失智症與健康照護

Ageing People with Intellectual Disabilities: Dementia and Health Care

林金定(Jin-Ding Lin) ； 林藍萍(Lan-Ping Lin)

《臺灣老人保健學刊》 4卷1期 (2008/06) Pp. 58-74

https://doi.org/10.29797/TJGHR.200806.0005

摘要

智能障礙者的平均餘命近年來已經持續地增加，許多研究顯示智能障礙者也如同一般老人面臨因為老化所造成的失智症等等問題，更甚者許多智能障礙者例如唐氏症者更有提早老化的情形發生。一般人口群在65歲以上的失智症盛行率大約是5%，然而失智症最常見的類型「阿茲海默症」的盛行率在40歲以上的唐氏症者大約是25%、60歲以上則是65%，他們發生阿茲海默症的年齡要比一般人早20年。本研究主要目的乃探討智能障礙者老化的特質與面臨的主要健康問題，尤其是失智症等常見問題，進而探討國際間診斷智能障礙者失智症的工具與醫療照護原則、政策與計畫，以作為未來智能障礙者老化議題研究之方向。

關鍵字

智能障礙者 ； 老化 ； 失智症 ； 阿茲海默症

並列摘要

The life expectancy for persons with intellectual disabilities will continue to increase, and many of them will live as long as their peers in the general population. Older persons with intellectual disabilities manifest the same age-related changes and age-related diseases as their non-disabled peers, such as the onset of dementia. Moreover, the prevalence of Alzheimer's disease, the most common cause of dementia, among adults with Down's syndrome is about 25% for those who are 40 years of age and older and about 65% for those who are 60 years of age and older. Thus, people with Down's syndrome are especially vulnerable to developing dementia. This paper aims to examine the ageing characteristics for people with intellectual disabilities. In addition, we also analyze dementia assessment and general issues and recommendations of dementia among people with intellectual disabilities of the western countries. The results can be the future research directions of ageing issues for this group of people.

並列關鍵字

Intellectual disability ； aging ； dementia ； Alzheimer's disease