精神医学60巻5号

2018年05月発行

特集 サイコオンコロジー

認知機能障害を持つ患者への対応—最近の動向

著者： 小川朝生¹

所属機関： ¹国立がん研究センター先端医療開発センター精神腫瘍学開発分野

ページ範囲：P.487 - P.493

文献概要

はじめに
　都市部を中心に高齢者数が急激に増加をしており，診療においても高齢者の占める割合がさらに高くなってきた。高齢者を診療する場合に，何らかの老年症候群を持つことが一般的であり，そのうちの一つに認知症やせん妄がある。特に認知症は，65歳以上の人口の15%が認知症と推測されるなど，広く認められつつある一方，認知症の併存が，がん診療にどのような影響を及ぼすのか，十分に把握・認識されていない課題がある。本稿では，高齢者のがん診療を踏まえ，認知機能障害を持つ場合のがん診療の現状についてまとめたい。

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