Department of General Practice, University College Cork, Cork, Ireland.
School of Public Health, University College Cork, Cork, Ireland.
Syst Rev. 2018 Apr 23;7(1):62. doi: 10.1186/s13643-018-0732-7.
In the context of rising dementia prevalence, the workload of general practitioners (GPs) in dementia care is set to increase. However, there are many aspects of dementia care that GPs find challenging. Behavioural and psychological symptoms of dementia (BPSD) affect the majority of people with dementia and is an aspect of dementia care that GPs find particularly difficult to manage. The aim of this mixed methods systematic review is to undertake a synthesis of qualitative and quantitative studies on GPs' knowledge, attitudes and experiences of managing BPSD.
Seven electronic bibliographic databases will be searched from inception to present. All qualitative or quantitative studies that explore the knowledge, attitude or experiences of GPs towards the management of BPSD in community and/or residential settings will be eligible for inclusion. A meta-ethnography will be conducted to synthesise included studies. Primary outcome measures will include GPs' experiences of managing BPSD, GPs' knowledge of BPSD and their attitude to different approaches to the management of BPSD, in particular their attitude to non-pharmacological approaches. All included papers will be independently assessed for methodological validity by two reviewers using the following tools: the Joanna Briggs Institute checklist for qualitative research, the Effective Public Health Practice Project (EPHPP) tool for intervention studies and the National Institute of Health (NIH) quality assessment tool for observational and analytical cross-sectional studies. As there is no agreed quality assessment tool for descriptive cross-sectional studies, an original tool will be developed. Two independent reviewers will apply the Confidence in the Evidence from Reviews of Qualitative Research (CERQual) tool to the review findings. The results will be reported in line with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement.
This study will be the first systematic review that synthesises the existing literature of GPs' knowledge, attitudes and experiences of managing BPSD in community and residential care. This review will improve our understanding of GPs' perspectives on the management of BPSD, and the results will be used to inform the development of an intervention to improve the management of BPSD in general practice.
PROSPERO CRD42017054916 .
随着痴呆症患病率的上升，全科医生（GP）在痴呆症护理方面的工作量预计将会增加。然而，痴呆症护理有许多方面是 GP 觉得具有挑战性的。痴呆症患者的行为和心理症状（BPSD）影响了大多数痴呆症患者，这是 GP 觉得特别难以管理的痴呆症护理方面之一。本混合方法系统综述的目的是对关于 GP 管理 BPSD 的知识、态度和经验的定性和定量研究进行综合。
将从建库开始到现在对七个电子文献数据库进行检索。所有探索全科医生在社区和/或住院环境中管理 BPSD 的知识、态度或经验的定性或定量研究都将有资格入选。将进行元人种学综合以综合纳入的研究。主要结局指标将包括 GP 管理 BPSD 的经验、GP 对 BPSD 的了解以及他们对不同管理方法的态度，特别是他们对非药物方法的态度。所有纳入的论文将由两名审查员使用以下工具独立评估方法学有效性：定性研究的 Joanna Briggs 研究所清单、干预研究的有效公共卫生实践项目（EPHPP）工具和观察性和分析性横断面研究的美国国立卫生研究院（NIH）质量评估工具。由于没有用于描述性横断面研究的商定质量评估工具，因此将开发一个原始工具。两名独立的审查员将对综述结果应用信心在从审查中得出的定性研究（CERQual）工具。结果将按照提高定性研究综合报告透明度的声明（ENTREQ）进行报告。
本研究将是第一项综合全科医生在社区和住院护理中管理 BPSD 的知识、态度和经验的现有文献的系统综述。这项研究将增进我们对全科医生对 BPSD 管理的看法的理解，研究结果将用于为改善一般实践中 BPSD 管理的干预措施提供信息。
PROSPERO CRD42017054916 。
