Sanford Sarah, Naglie Gary, Cameron Duncan H, Rapoport Mark J
Rotman Research Institute, Toronto, Canada.
Department of Medicine, Baycrest Health Sciences, Toronto, Canada.
Clin Gerontol. 2020 Mar-Apr;43(2):135-154. doi: 10.1080/07317115.2018.1483992. Epub 2018 Jul 6.
: To review qualitative research on the specific challenges and strategies that relate to driving cessation for older adults with dementia, from the perspectives of key informant groups.: A meta-synthesis of qualitative studies was conducted. Structured inclusion criteria were applied to screen 616 titles and abstracts, and 9 qualitative studies were included, published from 2002 to 2016. Descriptive themes were identified using content analysis and synthesized to generate analytic themes.: The study samples and methodologies represented a diverse range. Cross-cutting themes on experiences of driving cessation for people with dementia are the: importance of open communication and autonomy in decision-making, and advanced planning to connect people with resources; significance of relationships; importance of providing support for the impact of cessation on identity and emotional wellbeing; and benefit of individualizing supportive approaches.: This review identifies some important areas for consideration when designing supportive programs to address driving.: Interventions to support driving cessation for people with dementia should prioritize support for communication, advanced planning, and emotional effects of stopping driving.
从关键信息群体的角度,回顾关于老年痴呆症患者停止驾驶的具体挑战和策略的定性研究。
进行了定性研究的元综合分析。应用结构化纳入标准筛选616篇标题和摘要,纳入了9项定性研究,发表时间为2002年至2016年。使用内容分析法确定描述性主题,并进行综合以生成分析性主题。
研究样本和方法多种多样。关于痴呆症患者停止驾驶经历的贯穿各领域的主题包括:决策中开放沟通和自主性的重要性,以及提前规划以便为人们提供资源连接;人际关系的重要性;为停止驾驶对身份认同和情绪健康的影响提供支持的重要性;以及个性化支持方法的益处。
本综述确定了在设计支持性项目以解决驾驶问题时需要考虑的一些重要领域。支持痴呆症患者停止驾驶的干预措施应优先考虑对沟通、提前规划以及停止驾驶的情绪影响的支持。