医院外护理人员与痴呆症患者的互动:一个范围审查
Ming Xuan Han1, Linda Ross1, Liam Hemingway1
1Department of Paramedicine, Monash University Peninsula Campus, Frankston, Victoria 3199, Australia.
Age and ageing
|July 12, 2024
概括
护理人员经常觉得没有准备好照顾患有痴呆症的人,原因是培训不足和服务整合不良. 紧急需要加强痴呆症专用培训和清晰的护理途径,用于医院以外的环境.
科学领域:
- 护理医学和老年病学.
- 神经科学与公共卫生
背景情况:
- 痴呆症是一个重大的全球健康挑战,具有重大经济影响.
- 在澳大利亚,痴呆症影响着相当一部分老年人群,是导致死亡的主要原因.
- 护理人员在以社区为基础,以人为中心的痴呆症护理中至关重要,但他们的具体角色需要进一步定义.
研究的目的:
- 调查和记录护理人员和在非医院环境中患有痴呆症的人之间的互动.
- 识别痴呆症患者护理护理人员当前的做法和挑战.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的框架进行了全面的范围审查.
- 在主要数据库 (OVID Medline,CINAHL,Scopus,APA PsycInfo,OVID Embase) 进行搜索,没有日期限制.
- 包括的研究是主要的,经过同行评审的英语文章,详细介绍了护理人员与患有痴呆症的人在非医院环境中的互动.
主要成果:
- 对29篇文章的分析揭示了四个关键主题:培训需求,出席模式,记录实践和护理人员的整合潜力.
- 护理人员报告说,他们对痴呆症护理的装备不佳,理由是评估困难和护理人员的复杂性.
- 观察到高患者运输率,但护理人员发起的干预很低,痴呆和疼痛的记录不足.
结论:
- 对于患有痴呆症的人来说,紧急救护车的使用往往是一种反应性措施,凸显了医院外护理缺乏明确指导的情况.
- 迫切需要优先考虑研究和教育,为护理人员提供必要的痴呆症专用技能.
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