在家庭基础初级保健中对痴呆症干预措施的全面审查
Jeffrey D Weiner1, Bruce Leff2, Christine S Ritchie3
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Journal of the American Medical Directors Association
|April 25, 2024
概括
在家庭初级保健 (HBPC) 中对痴呆症干预措施的研究很少,尽管50%的接受者患有痴呆症. 一项研究表明,REACH干预措施减少了HBPC环境中的护理人员负担.
科学领域:
- 老年学是一门学科.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- 基于家庭的初级保健 (HBPC) 服务于家庭老年人,其痴呆率很高 (约. 50%) 的比例.
- 在HBPC环境中对痴呆症特异性干预措施的有效性和实施存在有限的研究.
- 了解目前HBPC痴呆症干预的现状,对于改善对这一群体的护理至关重要.
研究的目的:
- 进行范围审查,以评估在家庭初级保健 (HBPC) 中痴呆症干预的情况.
- 确定现有的痴呆症特异性干预措施,并评估它们在HBPC环境中的有效性.
主要方法:
- 根据PRISMA-ScR协议进行了系统范围审查.
- 在PubMed,Embase和Scopus进行了文献搜索.
- 如果研究重点是HBPC中痴呆症干预措施,并且以英语出版的研究,则将其纳入.
主要成果:
- 选了1657个独特的标题和摘要,最终产生了73个全文研究,用于资格评估.
- 只有一个研究符合纳入标准:一项关于加强阿尔茨海默病护理人员健康 (REACH) 干预资源的观察性研究.
- REACH 干预措施在减少护理人员负担方面表现出有效性,每日值班时间显著减少.
结论:
- 在针对家庭初级保健 (HBPC) 接受者量身定制的痴呆症干预措施的研究中存在重大差距.
- 未来的研究应该集中在适应和验证在其他环境中成功的干预措施,以便在HBPC中使用.
- 需要开发和测试专门针对家庭护理的独特挑战而设计的新型痴呆症干预措施.
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