Nurse Consultant and Clinical Senior Lecturer,The Newcastle upon Tyne Hospitals NHS Foundation Trust,Institute of Health and Society and Newcastle Institute for Ageing,Newcastle University,UK.
Research Associate,Institute of Health and Society,Newcastle University,UK.
Br J Psychiatry. 2019 Apr;214(4):201-212. doi: 10.1192/bjp.2019.29. Epub 2019 Feb 20.
In response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.AimsTo review the evidence on educational interventions on hospital care for older people with cognitive impairment.
A mixed methods systematic review and narrative synthesis was undertaken. The following electronic databases were searched: Medline, Embase, CINAHL, PsycINFO, EBM Reviews, ASSIA and Scopus, as well as Health Management Information Consortium (HMIC), ProQuest, PubMed and SCIE: Social Care Online. Initial searches were run in August 2014 (update search September 2016). Titles and abstracts of studies retrieved were screened independently. The full text of eligible studies were then independently assessed by two review team members. All included studies were assessed using a standard quality appraisal tool.
Eight studies relating to delirium, six on dementia and two on delirium and dementia were included, each testing the use of a different educational intervention. Overall, the quality of the studies was low. In relation to delirium, all studies reported a significant increase in participants' knowledge immediately post-intervention. Two of the dementia studies reported an increase in dementia knowledge and dementia confidence immediately post-intervention.
The variety of outcomes measured makes it difficult to summarise the findings. Although studies found increases in staff knowledge, there is insufficient evidence to conclude that educational interventions for staff lead to improved patient outcomes.Declaration of interestNone.
由于综合医院中患有认知障碍（如痴呆和谵妄）的老年人数量不断增加，许多医院已经制定了教育和培训计划，为员工在这一临床实践领域做好准备。
综述关于针对认知障碍老年患者的医院护理教育干预的证据。
采用混合方法系统综述和叙述性综合方法。 检索了以下电子数据库：Medline、Embase、CINAHL、PsycINFO、EBM Reviews、ASSIA 和 Scopus，以及卫生管理信息联合会（HMIC）、ProQuest、PubMed 和 SCIE：社会护理在线。 2014 年 8 月进行了初始搜索（2016 年 9 月更新搜索）。 独立筛选研究的标题和摘要。 然后，两名综述团队成员独立评估符合条件的研究的全文。 所有纳入的研究均使用标准质量评估工具进行评估。
共纳入了 8 项关于谵妄的研究、6 项关于痴呆的研究和 2 项关于谵妄和痴呆的研究，每项研究都测试了不同的教育干预措施。 总体而言，研究的质量较低。 关于谵妄，所有研究都报告说，参与者在干预后立即显著提高了知识。 两项痴呆研究报告说，在干预后立即增加了痴呆知识和痴呆信心。
所测量的结果种类繁多，难以总结发现。 尽管研究发现了员工知识的增加，但没有足够的证据表明教育干预措施会导致患者的结果得到改善。
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