关于中国老年学发展本土化问题的思考

中国老年学研究应结合中国的实际国情,实现本土化发展,更好地为社会的文明进步服务。文章对中国人口老龄化的特点进行了分析,并从中国政治、经济、社会、文化等六个层面,考察了中国老年学与本土国情的链结问题,同时,就加强中国老年学的本土化发展,从注重老年人口学研究、重视建设富有中国特色的老年供养体系、在社区老年工作机制中突出政府的主导作用及重建与时代相适应的新社会思想文化体系等四个方面进行了思考并提出了对策。     

A Clinical Study of Competency to Consent to Hospitalization and Treatment in Geriatric Inpatients*

Abstract: This study used a Competency Questionnaire modified for medical surgical patients (CQ‐Med). Twenty‐nine patients (ages 65–94 years) admitted to a geriatric medicine unit were studied. Along with the CQ‐Med, patients were administered several WAIS‐R subtests, the Blessed Dementia Scale (BDS), and Mini Mental State Exam (MMSE). Additionally, a blind forensic evaluation for competency to consent to hospitalization and treatment was performed for the purpose of validation of the CQ‐Med. Results of the study found that, as expected, increased age was correlated with decreasing performance on the CQ‐Med and decreased findings of competence by clinical exam. However, there was great variability within each age group, demonstrating individual differences in the progress of declining competency. CQ‐Med scores also correlated well with the WAIS‐R subtest raw and scaled scores. Scores on the MMSE and BDS were less well correlated. The CQ‐Med may be a useful adjunct in assessing declining competency in geriatric patients.