School of Dementia Studies,Faculty of Health Studies,University of Bradford,UK.
Int Psychogeriatr. 2017 Oct;29(10):1609-1618. doi: 10.1017/S1041610217001028. Epub 2017 Jun 20.
This systematic review identifies and reports the extent and nature of evidence to support the use of Dementia Care Mapping as an intervention in care settings.
The review was limited to studies that used Dementia Care Mapping as an intervention and included outcomes involving either care workers and/or people living with dementia. Searches were conducted in PubMed, Web of Knowledge, CINAHL, PsychINFO, EBSCO, and Scopus and manually from identified articles reference lists. Studies published up to January 2017 were included. Initial screening of identified papers was based on abstracts read by one author; full-text papers were further evaluated by a second author. The quality of the identified papers was assessed independently by two authors using the Cochrane Risk of Bias Tool. A narrative synthesis of quantitative findings was conducted.
We identified six papers fulfilling predefined criteria. Studies consist of recent, large scale, good quality trials that had some positive impacts upon care workers' stress and burnout and benefit people with dementia in terms of agitated behaviors, neuropsychiatric symptoms, falls, and quality of life.
Available research provides preliminary evidence that Dementia Care Mapping may benefit care workers and people living with dementia in care settings. Future research should build on the successful studies to date and use other outcomes to better understand the benefits of this intervention.
本系统评价确定并报告了支持使用痴呆症护理映射作为干预措施在护理环境中的证据的范围和性质。
本综述仅限于使用痴呆症护理映射作为干预措施的研究,并包括涉及护理人员和/或患有痴呆症的人的结果。在 PubMed、Web of Knowledge、CINAHL、PsychINFO、EBSCO 和 Scopus 以及从已确定的文章参考文献列表中进行了检索。纳入了截至 2017 年 1 月发表的研究。最初的筛选是基于一位作者阅读的摘要进行的;然后由第二位作者进一步评估全文。两位作者使用 Cochrane 偏倚风险工具独立评估确定论文的质量。对定量结果进行了叙述性综合。
我们确定了符合预定义标准的六篇论文。这些研究是最近的、大规模的、高质量的试验,对护理人员的压力和倦怠有一些积极影响,并在激越行为、神经精神症状、跌倒和生活质量方面使痴呆症患者受益。
现有研究提供了初步证据,表明痴呆症护理映射可能有益于护理环境中的护理人员和患有痴呆症的人。未来的研究应在迄今为止成功的研究基础上进行,并使用其他结果来更好地了解这一干预措施的益处。