Patient Experience Research Centre, Imperial College London, Medical School Building, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
BMC Geriatr. 2018 Jan 25;18(1):23. doi: 10.1186/s12877-018-0710-x.
Providing high quality acute hospital care for patients with dementia is an increasing challenge as the prevalence of the disease rises. Informal carers of people with dementia are a critical resource for improving inpatient care, due to their insights into patients' needs and preferences. We summarise informal carers' perspectives of acute hospital care to inform best practice service delivery.
We conducted a systematic search of bibliographic databases and sought relevant grey literature. We used thematic synthesis analysis to assimilate results of the studies and describe components of care that influence perceived quality.
Twenty papers met the inclusion criteria. Findings identified four overarching components of care that influenced carer experience and their perceptions of care quality: 'Patient care', 'Staff interactions', 'Carer's situation' and 'Hospital environment'. Need for improvement was identified in staff training, provision of help with personal care needs, and dignified treatment of patients. Carers need to be informed, involved and supported during hospital admission in order to promote the most positive experience.
This review identifies common perspectives of informal carers of people with dementia in the acute hospital setting and highlights important areas to address to improve the experience of an admission for both carer and patient.
随着痴呆症患病率的上升，为痴呆症患者提供高质量的急性医院护理是一项日益严峻的挑战。痴呆症患者的非正式照顾者是改善住院护理的重要资源，因为他们深入了解患者的需求和偏好。我们总结了非正式照顾者对急性医院护理的看法，以为最佳实践服务提供信息。
我们对文献数据库进行了系统搜索，并寻找了相关的灰色文献。我们使用主题综合分析来整合研究结果，并描述影响感知质量的护理组成部分。
符合纳入标准的有 20 篇论文。研究结果确定了影响照顾者体验及其对护理质量看法的四个总体护理组成部分：“患者护理”、“员工互动”、“照顾者的情况”和“医院环境”。需要改进的地方包括员工培训、提供个人护理需求的帮助以及对患者的尊严待遇。为了促进最积极的体验，在住院期间需要告知、参与和支持照顾者。
本综述确定了痴呆症患者的非正式照顾者在急性医院环境中的常见观点，并强调了需要解决的重要领域，以为照顾者和患者的住院体验提供改善。
