失智症臨床護理專家的角色發展與未來展望

The Role Development and Future of Dementia Nurse Specialists

人口高齡化對整體社會的衝擊是全面且深遠的，而失智症更為高齡社會的關鍵病症代表，其複雜多變的病程、行為與精神症狀常造成家庭沉重的負擔與專業照顧者的挑戰，是現今社會中不可漠視的議題。在醫療專業人員中又以護理人員與失智症患者及其家庭的接觸最為頻繁，因此在失智症的照護團隊裡更佔有舉足輕重的地位。本文從提出我國於各場域照護失智患者的問題與困境以及目前失智症醫療照護策略與照護實務現況，並參考先進國家的失智症臨床護理專家之發展與角色職責，藉以提出政策面、實務面、組織面與未來研究等相關建議。期做未來我國擬定與推動進階的失智症護理照護角色等政策與臨床失智照護實務之參考。

The impact of aging on society is comprehensive and profound. Dementia is a key representative disease / condition of aging societies. The complexity of the course, behavior, and psychiatric symptoms of this disease often burdens families and challenges professional caregivers. Thus, dementia is a growing problem in healthcare that cannot be ignored. As nurses are the healthcare professionals that are most frequently in contact with dementia patients and their families, they occupy a pivotal position in the dementia care team. The present study analyzes the current problems encountered in caring for dementia patients in different care settings, highlights the current difficulties encountered in dementia-care policy and practice in Taiwan, and reviews the development and role of clinical nurse specialists in dementia care in several developed countries. Finally, we propose relevant policy, practice, organizational, and future research recommendations. The content of this paper may be used as a reference for related policymaking and in the promotion of the advanced nursing care role in dementia care.