有效减轻痴呆症患者护理人员负担的干预措施:元分析
Francisco José Rodríguez-Alcázar1, Raúl Juárez-Vela2, Juan Luis Sánchez-González3
1Regional Health Management of Castilla y León, 47007 Valladolid, Spain.
Nursing reports (Pavia, Italy)
|April 23, 2024
概括
这项研究发现,针对痴呆症护理人员的各种干预措施具有低至中度的影响. 护士领导的研讨会显示出最显著的影响,改善护理人员的健康结果.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 护理科学 护理科学
背景情况:
- 慢性非传染性疾病和阿尔茨海默氏症等精神健康状况影响全球所有人口.
- 护理人员负担显著影响患者及其家人的福祉,需要有针对性的支持干预措施.
- 现有的研究利用各种健康问卷来衡量护理人员负担,促使对其测量一致性的调查.
研究的目的:
- 确定最有效的干预措施,以改善痴呆症患者的初级护理人员的健康.
- 阐明护士在多学科团队中的作用,以支持痴呆症护理人员.
- 评估不同的测量仪器是否始终捕捉护理人员健康结果.
主要方法:
- 在已出版和灰色文学中进行了系统的文献搜索,没有语言限制.
- 该研究评估了痴呆症患者接受旨在减少这种负担的干预措施的护理人员负担.
- 标准化平均差异被用作影响大小的衡量标准,以评估干预的有效性.
主要成果:
- 单独治疗的效果为0.48 (CI95%:0.18;0.79).个人治疗的效果为0.48 (CI95%:0.18;0.79).
- 组疗法产生了0.20的效果 (CI95%:0.08;0.31),而工作坊则显示了0.21和0.32的效果,特别是当涉及护士时.
- 缓解护理 (0.22),个人治疗 (0.28) 和支持小组 (0.07) 也显示了不同程度的有效性.
结论:
- 对于痴呆症护理人员的干预措施通常会产生低到中等的效果大小.
- 测量仪器的选择似乎没有影响干预效应的大小.
- 护士参与基于研讨会的干预措施显著增强了他们对护理人员福祉的积极影响.
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