痴呆症护理导航:对不同类型的服务及其患病率进行系统审查
Clarissa Giebel1,2, Siobhan Reilly3, Mark Gabbay1,2
1Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
International journal of geriatric psychiatry
|August 1, 2023
概括
痴呆症护理导航员 (DCN) 为痴呆症患者和护理人员提供重要的非临床支持. 然而,目前关于DCN服务影响的证据有限,需要通过标准化措施进行进一步的研究.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 痴呆症护理导航员 (DCNs) 为痴呆症患者及其照顾者提供非临床,个性化的支持.
- 现有的DCN服务在格式和实现方面各不相同,缺乏一致的概述.
- 本综述解决了对DCN服务模型及其影响的综合理解的需求.
研究的目的:
- 描述和比较现有的痴呆症护理导航服务格式.
- 综合关于DCN服务的实施和影响的证据.
- 识别当前DCN服务研究中的差距.
主要方法:
- 在PROSPERO (CRD42021292518) 登记的叙事系统审查.
- 搜索了三个电子数据库对DCN服务 (提供社区支持的非临床培训工作者) 的研究.
- 包括来自六项美国研究的14篇论文;使用标准质量评估QualSyst.评估偏差风险.
主要成果:
- 包括六项美国DCN研究,显示服务集成和培训的差异.
- 报告对服务利用,痴呆症症状和幸福感的影响各不相同,没有足够的证据得出实质性结论.
- 研究中使用了不同的结局措施; 一项研究表明,在晚期痴呆症中影响更大.
结论:
- 从诊断开始,DCN服务显示出有效的非临床支持的潜力.
- 需要在美国以外进行进一步的研究,重点关注社会护理的影响,并利用一致的结果措施.
- 标准化研究方法对于得出关于DCN有效性的有意义结论至关重要.
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