[对痴呆症患者的验证:没有证据的创新? :系统性审查]
Thomas Boggatz1, Florian Schimböck2
1Fakultät für Pflegewissenschaft, Vinzenz Pallotti University, Pallottistraße 3, 56179, Vallendar, Deutschland. boggatzthomas@yahoo.com.
Zeitschrift fur Gerontologie und Geriatrie
|December 29, 2023
概括
痴呆症的验证疗法对具有挑战性的行为产生不明确的影响. 虽然一项研究发现了减少,但大多数的偏差很高,这表明需要更多的研究.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 护理 护理 护理
背景情况:
- 验证疗法是痴呆症护理的一种方法,旨在减少具有挑战性的行为.
- 验证疗法的有效性在减轻痴呆症患者具有挑战性的行为仍然不确定.
研究的目的:
- 系统地审查关于验证疗法是否减少痴呆症患者具有挑战性的行为的证据.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,CINAHL,PsycInfo和Web of Science进行了文献搜索.
- 两位审查员使用修订后的Cochrane风险偏见工具批判性地评估了五项已识别的研究.
主要成果:
- 在五项研究中,只有一个发现了挑战性行为显著减少.
- 所有纳入的研究都表现出中度至高偏差风险.
- 验证疗法在减少具有挑战性的行为方面有效性的总体证据有限.
结论:
- 由于研究的局限性,验证治疗的积极影响不能被最终排除.
- 未来的研究应该考虑验证疗法作为综合护理的一部分,而不是孤立的干预.
- 临床试验中的盲目可能不适合依赖人际关系动态的干预.
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