Oxford Institute for Nursing, Midwifery and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Oxford Institute for Nursing, Midwifery and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK.
Dementia (London). 2019 May;18(4):1410-1426. doi: 10.1177/1471301217713325. Epub 2017 Jun 6.
A quarter of acute hospital beds are occupied by people with dementia, and a hospital stay may impact negatively on their health and wellbeing. The development and implementation of volunteers to provide social, activity-based, one-to-one support for people with dementia in acute hospitals has become routine practice. However, the evidence to support this practice has not been identified or evaluated. This systematic review considers the effect of volunteers on the care and experience of people with co-morbid cognitive impairment/dementia in acute hospitals. The systematic search identified 444 papers, although only three papers included specific analysis relating to the impact of volunteers. The evidence suggests volunteers may have potential to enhance the experiences of people with dementia in acute hospitals; however, there is currently a marked lack of evidence to support the widespread implementation of volunteers. There is therefore an urgent need for multi-site robust research to provide evidence of the impact of volunteers supporting people with cognitive impairment/dementia during an acute hospital stay.
四分之一的急性医院病床被患有痴呆症的人占据,住院可能对他们的健康和幸福感产生负面影响。为急性医院的痴呆症患者提供社交、基于活动、一对一支持的志愿者的开发和实施已成为常规做法。然而,尚未确定或评估支持这种做法的证据。本系统评价考虑了志愿者对急性医院合并认知障碍/痴呆症患者护理和体验的影响。系统搜索确定了 444 篇论文,尽管只有三篇论文专门分析了志愿者的影响。证据表明,志愿者可能有潜力增强急性医院中痴呆症患者的体验;然而,目前缺乏广泛实施志愿者的证据。因此,迫切需要进行多地点的稳健研究,提供志愿者在急性住院期间支持认知障碍/痴呆症患者的影响的证据。