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Application of the Need-Driven Dementia-Compromised Behavior Model in Dementia Care: A Scoping Review
Wenxuan Zhao1, Jie Song1, Haiwen Chen2
1School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China.
Objectives:
To review the need-driven dementia-compromised behavior (NDB) model and its application in dementia care.
Methods:
This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Review guidelines. We searched electronic databases including Embase, PubMed, Web of Science, Cochrane Library, Scopus, and the Chinese databases CNKI, Wanfang, VIP, and SinoMed from November 1996 to December 2024.
Results:
Overall, 22 studies were included. Eleven studies explored the factors influencing behavioral and psychological symptoms of dementia (BPSD), 10 focused on nursing interventions to meet patients' needs in dementia care, and only 1 developed an assessment tool to evaluate trigger factors of BPSD.
Conclusions:
Identifying and assessing the background and proximal factors of patients with dementia can assist nurses and family caregivers in the early identification of patients at risk of BPSD. The NDB model-based assessment tool is used to assess possible BPSD triggers. Nursing interventions based on the NDB model positively affect BPSD and mood in people with dementia. These interventions can be tailored based on the background or target proximal factors of patients in specific settings.
Clinical Implications:
Using the NDB model, caregivers can identify triggers of BPSD in patients with dementia and implement personalized intervention measures.
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