輕度認知障礙病人焦慮感概念分析

Conceptual Analysis of Anxiety in Patients with Mild Cognitive Impairment

輕度認知障礙(mild cognitive impairment, MCI)常見的影響為病人面臨較為複雜的工作任務或社會環境下會有問題，但簡易的日常生活並無影響，因此MCI可視為失智症退化前的過渡期。神經精神症狀尤其是焦慮，常見於MCI和失智症病人身上，研究證實控制MCI的神經精神症狀(尤其是焦慮感)可抑制MCI病人往失智症發展，在臨床照護上是值得公共衛生關心和注意的議題。而MCI病人的焦慮感概念分析目前在國內、外仍是欠缺，因而本文採用Walker及Avant在1995年所提的概念分析八大步驟方法來進行輕度認知障礙病人焦慮感概念分析。期望透過本次概念分析過程進而達到釐清MCI焦慮感概念，以利臨床護理人員面對MCI病人時落實使用和應用。

Mild cognitive impairment (MCI) commonly affects patients by causing difficulties with complex work tasks or navigating social environments, while simple daily activities remain largely unaffected. As such, MCI is often considered a transitional stage before the onset of dementia. Neuropsychiatric symptoms (NPS), particularly anxiety, are prevalent among patients with MCI and dementia. Evidence-based studies have demonstrated that managing NPS, especially anxiety, can slow the progression of MCI to dementia, highlighting its importance in clinical care and public health. Despite this, there is a lack of comprehensive conceptual analysis of anxiety in patients with MCI, both domestically and internationally. Utilizing Walker and Avant’s concept analysis method, this study aims to clarify the attributes and characteristics of anxiety in patients with MCI. Through this conceptual analysis process, the goal is to refine the understanding of MCI-related anxiety, enabling clinical nurses to better apply this knowledge to nursing research and practice.