在欧洲获得和使用痴呆症护理服务的障碍:系统审查
Michele Sorrentino1,2, Claudio Fiorilla1, Michelangelo Mercogliano1
1Department of Public Health, University "Federico II" of Naples, Naples, Italy.
BMC geriatrics
|March 11, 2025
概括
痴呆症护理中的障碍,包括缺乏意识,协调不足和高成本,阻碍了服务利用. 通过量身定制的干预措施解决这些挑战对于改善痴呆症患者的生活质量至关重要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 痴呆症严重影响日常功能,需要广泛的医疗保健和社会支持.
- 尽管有正式的支持系统,非正式的护理人员经常承担初级保健负担.
- 痴呆症护理服务的非最佳利用与不合规,缺乏意识和护理协调不佳有关.
研究的目的:
- 系统地审查欧洲阿尔茨海默氏症和其他痴呆症医疗保健系统的障碍.
- 识别阻碍获得和利用痴呆症护理服务的因素.
- 为改善痴呆症护理质量和减少护理人员负担的策略提供信息.
主要方法:
- 对2013年至2023年间出版的文献进行系统审查.
- 在主要数据库 (PubMed,Embase,PsycINFO等) 中进行的搜索. 使用痴呆症和进入障碍术语.
- 接下来是PRISMA指南,AI支持审查和混合方法评估工具用于质量评估.
主要成果:
- 在分析的1298项研究中,有29项研究揭示了痴呆症护理的多重障碍.
- 发现的障碍包括信息,组织,文化,耻辱相关,财务和后勤方面的挑战.
- 具体问题包括护理人员的知识差距,护理协调不良,社会耻辱,高成本和服务可访问性限制.
结论:
- 解决已识别的障碍对于提高痴呆症患者的生活质量至关重要.
- 干预措施应侧重于改善护理协调,沟通和医疗保健专业人员培训.
- 量身定制的管理计划对于减轻家庭的护理负担和提高整体痴呆症护理效率至关重要.
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