影响痴呆症患者参与预先护理计划的因素:元分析
Shuqi Zhai1, Yifan Lu1, Qinqin Liu1
1Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China.
Geriatric nursing (New York, N.Y.)
|October 19, 2024
概括
痴呆症患者的预先护理计划参与受到性别,年龄,教育,种族,痴呆症严重程度,日常生活能力,宗教和收入等因素的影响. 这些发现可以指导干预措施,以改善终身护理和减少过度治疗.
科学领域:
- 老年病学和息治疗
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 提前护理计划 (ACP) 对痴呆症患者至关重要,以确保尊重他们的偏好.
- 了解影响ACP参与的因素对于制定有效的支持战略至关重要.
- 关于这些影响因素的现有证据需要综合来指导临床实践和政策.
研究的目的:
- 对现有证据进行元分析,以确定影响痴呆症患者参与预先护理计划的因素.
- 综合多项研究的发现,以提供对重要影响因素的全面概述.
- 关于ACP,为痴呆症患者制定有针对性的干预措施提供信息.
主要方法:
- 在七个主要数据库中进行了系统的关键字搜索,截至2024年2月1日.
- 研究质量使用纽卡斯尔-太华尺度 (NOS) 和医疗保健研究和质量机构 (AHRQ) 标准进行评估.
- 使用Stata 15.0对比率 (OR) 和95%置信区间 (CI) 进行了元分析,使用Cochran的Q和I2统计数据评估异质性.
主要成果:
- 包括19项研究,分析了16个潜在的影响因素.
- 八个因素表明了统计学意义:患者的性别 (OR=1.17),年龄 (OR=1.07),教育 (OR=1.98),种族 (OR=2.61),痴呆症严重程度 (OR=1.46),日常生活活动 (OR=0.99),宗教信仰 (OR=2.24),以及患者的收入 (OR=2.10).
- 这些因素共同影响了痴呆症患者参与事先护理规划的可能性.
结论:
- 主要的人口统计和临床因素显著影响痴呆症患者参与事先护理规划.
- 调查结果强调了需要量身定制的干预措施,以加强在不同痴呆症患者群体中促进非洲和非洲的参与.
- 这项研究可以帮助减少生命终点过度治疗,并改善痴呆症患者的临床护理遵守性.
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