痴呆症患者的急性后护理康复:系统性审查
Charles Semelka1, Valerie Freeman2, Jeff Williamson1
1Department of Medicine Section on Geriatric Medicine, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Journal of the American Medical Directors Association
|August 9, 2024
概括
痴呆症患者 (PLWD) 的急症后护理 (PAC) 康复显示出较低的回家率和较少的功能改善. 需要个性化的痴呆症护理模型来改善结果和经验.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
背景情况:
- 患有痴呆症的人 (PLWD) 在住院后经常需要急性护理后 (PAC) 康复.
- 了解PLWD在PAC中的结果和经验对于优化护理至关重要.
研究的目的:
- 系统地审查有关痴呆症患者 (PLWD) 后急性护理 (PAC) 康复的现有文献.
- 确定与PAC相关的关键成果和经验.
主要方法:
- 在多个数据库 (PubMed,Scopus等) 进行了系统的文献审查. 在2023年4月之前.
- 包括的研究重点是医院住院后的PAC设施中的PLWD,不包括长期护理.
- 叙事综合分析了41篇选定的文章的结果和经验的主题.
主要成果:
- 与没有认知障碍的人相比,PLWD的PAC康复与回家的可能性较低,功能改善也较少.
- 关键经验包括医疗保健转型中的挑战,员工缺乏对痴呆症的具体知识,以及需要目标调整的需要.
- 针对PLWD量身定制的创新性康复模式正在出现.
结论:
- 对于PLWD的PAC康复需要专门的模型来解决痴呆症的特定需求.
- 对护理过渡,目标设定和痴呆教育的个性化方法是必不可少的.
- 改善这些方面可以提高PAC的交付和PLWD的健康结果.
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