有认知障碍的个人在现场住院出院:系统性审查
Victoria M Winogora1, Christine E DeForge1, Kimberlee Grier1
1Columbia University School of Nursing, New York, NY, USA.
Journal of the American Medical Directors Association
|March 30, 2025
概括
这次审查发现,认知障碍,主要是痴呆症,与住院出院有关. 需要进一步的研究,以将更广泛的认知障碍社区纳入终身护理研究.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 关于残疾人的研究.
背景情况:
- 活在临终关怀医院的出院是认知障碍患者的复杂结果.
- 了解与活体出院相关的因素对于改善终身护理至关重要.
研究的目的:
- 系统地审查有关认知障碍患者在住院出院现有证据.
- 在这个人群中确定与活体排放相关的风险因素和结果.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,CINAHL和Web of Science中搜索美国的英语同行评审文献 (2014-2024年).
- 包括评估认知障碍成年人住院出院的研究,使用乔安娜·布里格斯研究所的质量评估工具.
主要成果:
- 八项横截面研究符合纳入标准,所有研究都侧重于痴呆症.
- 认知障碍指标始终与活着的住院出院有关.
- 额外的危险因素包括女性性别,少数民族种族,营利性临终关怀中心和家庭服务. 有认知障碍的个人经历了更长的临终关怀住宿.
结论:
- 这是对认知障碍患者住院出院的首次系统审查,尽管文献主要集中在痴呆症上.
- 尽管没有"认知障碍"这个词,但与活体排放的关联是显而易见的.
- 未来的研究应该扩大纳入更广泛的认知障碍社区,以告知终身护理的干预措施.
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