痴呆症患者护理人员的预后理解:一个范围审查
Ishwarya Balasubramanian1, Ellie Bostwick Andres1, Louisa Camille Poco1
1Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
Journal of the American Geriatrics Society
|October 24, 2024
概括
护理人员对痴呆症患者 (PwDs) 预后的理解影响终身护理. 准确的预后理解与更好的护理有关,约40%的护理人员认为痴呆症是限制生命的.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 护理人员预后理解 (PU) 显著影响痴呆症患者 (PwDs) 终身护理.
- 关于护理人员PU的现有文献是有限的,需要进行全面的审查.
- 范围审查,以定义和测量PWD的护理人员PU,并综合流行率和影响因素.
研究的目的:
- 为了探索护理人员PU的定义和测量的变化,PWDs.
- 综合精确的护理人员PU的流行率PWDs.
- 确定与护理人员PU相关的护理人员,PWD和医疗保健相关因素.
主要方法:
- 在MEDLINE/PubMed,EMBASE,SCOPUS和CINAHL数据库中进行系统搜索.
- 包括评估非正式照顾者PU的研究,使用隐式描述的测量工具.
- 排除了专注于付费护理人员的研究.
主要成果:
- 十五项研究 (2009-2023) 将PU定义为了解痴呆症的不可治愈性和生命限制性,以预期寿命为常见衡量标准.
- 大约90%的护理人员认为痴呆症是无法治愈的,但只有约40%的人承认它是限制生命的.
- 精确的PU与更生病的PWD和关于护理目标的讨论有关;改善的PU与以舒适为中心的护理偏好和减少负担重重的干预相关.
结论:
- 需要一个全面的措施来评估护理人员PU的多面性质.
- 进一步的研究应该调查影响护理人员PU在痴呆症护理中的因素.
- 探索护理人员PU对护理人员自身的影响对于改善支持和护理至关重要.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Alzheimer's Disease: Overview
449
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
449
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Dementia
97
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
97


