绘制基于证据的干预措施的实施策略,针对痴呆症患者的三个预选现象 - - 一个范围审查
Mike Rommerskirch-Manietta1,2, Christina Manietta3,4, Daniel Purwins3,4
1Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Site Witten, Witten, Germany. Mike.Rommerskirch-Manietta@dzne.de.
Implementation science communications
|August 28, 2023
概括
实施基于证据的痴呆症护理干预措施面临着挑战. 本次审查确定了策略,结果和因素,突出了对痴呆症护理实施策略有效性的研究的需要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 照顾患有痴呆症的人面临复杂的挑战,尽管有基于证据的干预措施.
- 既定干预措施与其在痴呆症护理环境中的实际实施之间存在很大的差距.
- 本综述重点关注三个关键领域:在长期护理中管理具有挑战性的行为,在急性护理中解决妄想症,以及改善痴呆症患者的急性后护理.
研究的目的:
- 确定用于痴呆症护理中基于证据的干预措施的实施策略.
- 确定与这些干预相关的实施结果.
- 探索影响痴呆症护理干预措施成功实施的因素.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 在 MEDLINE,CINAHL 和 PsycINFO 数据库中进行了搜索.
- 利用ERIC,Proctor的实施成果和CFIR等框架,采用了演性的内容分析.
主要成果:
- 总共有1620个记录被选,其中包括13项研究,涉及三个痴呆现象.
- 适应和适应环境,培训和教育利益相关者是最常见的实施战略集群.
- 虽然一项研究评估了战略的有效性,但十项研究报告了实施结果 (主要是忠诚度). 确定了许多影响因素,资源和适应能力是最常见的.
结论:
- 在不同痴呆现象,干预措施和护理环境中的实施策略,结果和影响因素中观察到高度一致性.
- 具体实施战略的有效性的证据依据仍然有限.
- 未来的研究应优先研究基于证据的痴呆症护理干预措施实施策略的有效性,以弥合研究与实践之间的差距.
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