护士如何评估神经疾病成年人的认知能力? 一个范围广泛的审查
Jiayue Xiong1, Rozina Bhimani1, Siobhan McMahon1
1University of Minnesota School of Nursing, Minneapolis, MN, USA.
概括
老年人的神经认知问题正在增加. 本文审查了护理中的认知评估,发现大多数工具错过了超越记忆的关键领域,需要更好的护理词汇来准确测量认知功能.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 护理科学 护理科学
背景情况:
- 神经认知问题在老年人群中越来越普遍,预计到2050年,这一数字将增加三倍.
- 在康复机构的早期检测对于管理认知变化和提供适当的护理至关重要.
研究的目的:
- 调查当前护理实践中用于神经疾病患者的认知评估.
- 在各种医疗保健环境中识别认知评估工具的差距.
主要方法:
- 根据阿克西和奥马利的方法进行范围审查.
- 在PubMed,Ovid Medline和CINAHL数据库中搜索了2017年至2023年间发表的文章.
- 在急性护理,门诊,社区和长期护理环境中评估了24篇文章.
主要成果:
- 迷你精神状态检查是最常见的工具,除了长期护理.
- 大多数认知评估工具主要捕获记忆,忽视其他领域,如执行功能和处理速度.
- 在捕捉认知功能的全谱方面存在差距.
结论:
- 在选择认知功能测量工具时,康复护士必须认识到上下文细微差别.
- 护士专业需要增强其标准化词汇,以更好地捕捉认知领域.
- 改进的评估工具和词汇对于在不同的临床环境中进行准确的认知评估至关重要.
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