Sullivan Dawn O, Mannix Mary, Timmons Suzanne
1 Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, St Finbarr's Hospital, Cork, Ireland.
2 Mercy University Hospital, Cork, Ireland.
Am J Alzheimers Dis Other Demen. 2017 Jun;32(4):189-193. doi: 10.1177/1533317517698791. Epub 2017 Apr 12.
Caring for people with dementia in acute settings is challenging and confounded by multiple comorbidities and difficulties transitioning between community and acute care. Recently, there has been an increase in the development and use of integrated care pathways (ICPs) and care bundles for defined illnesses and medical procedures, and these are now being promoted for use in dementia care in acute settings. We present a review of the literature on ICPs and/or care bundles for dementia care in the acute sector. This includes a literature overview including "gray literature" such as relevant websites, reports, and government publications. Taken together, there is clearly a growing interest in and clinical use of ICPs and care bundles for dementia. However, there is currently insufficient evidence to support the effectiveness of ICPs for dementia care in acute settings and limited evidence for care bundles for dementia in this setting.
在急症环境中照顾痴呆症患者具有挑战性，且因多种合并症以及社区护理与急症护理之间的过渡困难而变得更加复杂。最近，针对特定疾病和医疗程序的综合护理路径（ICP）和护理包的开发与使用有所增加，目前这些正被推广用于急症环境中的痴呆症护理。我们对急症领域中用于痴呆症护理的ICP和/或护理包的文献进行了综述。这包括文献概述，其中涵盖“灰色文献”，如相关网站、报告和政府出版物。总体而言，对于用于痴呆症护理的ICP和护理包，人们的兴趣和临床应用显然在不断增加。然而，目前尚无足够证据支持ICP在急症环境中对痴呆症护理的有效性，且在该环境中关于痴呆症护理包的证据有限。
