探索MND认知和行为缺陷的临床管理. 一个范围审查审查
Rebecca Francis1, Stacie Attrill2, Ratko Radakovic3
1Speech Pathology, College of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide, Australia; Swallowing Neurorehabilitation Research Laboratory, Caring Futures Institute, Flinders University, Adelaide, Australia.
Patient education and counseling
|August 19, 2023
概括
在肌缩侧面硬化症 (ALS) 中认知和行为衰退的临床管理尚不清楚. 该审查确定了六个关键管理领域,包括评估,教育和护理人员支持,强调需要更多的初级数据.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 临床医学 临床医学
背景情况:
- 认知和行为变化在肌缩侧面硬化症 (ALS) 中很常见.
- 对这些变化的有效临床管理策略尚未得到充分确立.
- 需要了解当前的方法来管理ALS患者的认知和行为衰退.
研究的目的:
- 系统地审查和总结ALS认知和行为衰退的临床管理方法.
- 确定管理这些变化的关键主题和实践领域.
- 突出现有文献中的差距,并指导未来的研究.
主要方法:
- 使用了一个范围审查方法.
- 在2022年10月,在多个数据库 (Embase,Medline,Psychinfo,Emcare) 和灰色文献来源 (谷歌学者,谷歌) 中进行了搜索.
- 通过专题分析,综合了26项研究和8份文件的发现.
主要成果:
- 确定了临床管理的六个关键领域:评估,教育,预先护理规划,护理计划的调整,沟通和护理人员支持.
- 现有的文献稀少,大多数同行评审文章都是专家评论.
- 缺乏初级数据,以告知从业者和家庭如何管理ALS的认知和行为变化.
结论:
- 目前关于管理ALS认知和行为衰退的文献有限.
- 早期识别认知和行为变化对于个性化护理规划至关重要.
- 需要进一步的研究来制定基于证据的指导方针来管理ALS的这些方面.
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