单独生活的痴呆症患者的非药理干预:系统性审查
Sarah Polack1, Georgia Bell1, Barbora Silarova2
1Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
International journal of geriatric psychiatry
|February 26, 2025
概括
这次审查探讨了单独生活的痴呆症患者的非药物干预措施. 虽然有前途,但需要更强大的研究来了解对这一群体的有效支持策略.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 大约三分之一的痴呆症患者独立生活.
- 孤独生活的痴呆症患者面临着未满足需求和社会隔离的风险.
- 非药物干预对于支持这一人口群体至关重要.
研究的目的:
- 系统地识别和描述孤独生活的痴呆症患者的非药物干预措施.
- 评估这些干预措施在满足这一群体需求方面的有效性.
主要方法:
- 按照PRISMA的指导方针,在六个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,在线社会护理,临床试验.gov) 进行系统的文献搜索.
- 包括自2000年以来发表的研究,重点是单独生活的社区居住的痴呆症患者.
- 研究结果的叙述综合,评估研究偏差风险.
主要成果:
- 13项研究评估了13种不同的干预措施,分为五个类别:家庭护理管理,技术,社会,认知和心理.
- 大多数研究报告了关于干预影响和可行性的积极或混合的发现.
- 干预类型,研究设计和结果措施存在显著的异质性,只有两项研究被评为偏差风险低.
结论:
- 有限但有前途的研究表明,有潜在的干预措施来支持孤独生活的痴呆症患者.
- 关键证据缺口需要更强大的,可比的研究来确定有效的干预措施.
- 让痴呆症患者参与干预设计和评估对于满足他们的需求至关重要.
更多相关视频
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
8.2K
08:36The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
3.6K
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
868
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
868
01:22Alzheimer's Disease: Treatment
147
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
147
01:30Cognitive Development During Adulthood
44
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
44
01:26Alzheimer's Disease: Overview
422
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...
422
01:30Dementia
88
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....
88
01:30Community Based Intervention
28
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
28