Faculty of Nursing, Université de Montréal, Research Chair in Nursing Care for Older People and their Families, Research Centre of the Institut universitaire de gériatrie de Montréal, PO Box 6128, Station Centre-Ville, Montréal, Quebec, H3C 3J7, Canada.
Faculty of Nursing, Université de Montréal, PO Box 6128, Station Centre-Ville, Montréal, Quebec, H3C 3J7, Canada.
Syst Rev. 2019 Jul 11;8(1):164. doi: 10.1186/s13643-019-1091-8.
Physically aggressive behaviors are very common among older people living with cognitive impairment. These behaviors may have significant consequences for family and formal caregivers, as well as for the other people in the older people's environment, and are also a frequent cause of institutionalization. Two relevant systematic reviews have been published on the subject but do not specifically target physically aggressive behaviors or only focus on care in nursing homes. Moreover, they do not address the causes, associated factors, and consequences of these behaviors, even though these should indeed be considered when developing interventions. Thus, the purpose of this scoping review is to map the state of knowledge on these physically aggressive behaviors with a view to developing personalized interventions. Offering a humanist and relational perspective by which these behaviors may be examined, the Senses Framework will guide this review.
The scoping review method of Levac, Colquhoun, and O'Brien will be used. Several databases (e.g., CINAHL, PubMed, PsycINFO, SCOPUS, Grey Literature Report, clinical trials registries) will be searched for literature published in the past 15 years, using a combination of keywords and descriptors. Other data sources will be used to identify non-indexed literature or unpublished results (e.g., articles references, journal tables of content, contact with key authors). The literature will be selected regardless of setting, if it concerns older people, aged 65, or older with cognitive impairment who present physically aggressive behaviors. Data will be extracted systematically by the research team. A quality assessment of the literature will be done to consider this aspect in the data synthesis. A content analysis will be used to synthesize the results.
No scoping review has been found on the physically aggressive behaviors of older people living with cognitive impairment in various settings. The results of this review will identify needs for further research and for clinical and training development on this problem from a humanist standpoint.
Currently, it is not possible to register a systematic scoping review protocol (e.g., PROSPERO).
身体攻击行为在患有认知障碍的老年人中非常普遍。这些行为可能对家庭和正式照顾者，以及老年人环境中的其他人产生重大影响，也是导致住院的常见原因。已经发表了两篇关于该主题的相关系统评价，但它们并没有专门针对身体攻击行为，或者只关注养老院的护理。此外，它们没有涉及这些行为的原因、相关因素和后果，尽管在制定干预措施时确实应该考虑这些因素。因此，本次范围综述的目的是绘制这些身体攻击行为的知识状况图，以期制定个性化干预措施。通过提供一种人文主义和关系视角，可以使用 Senses 框架来指导本次综述。
将使用 Levac、Colquhoun 和 O'Brien 的范围综述方法。将使用多个数据库（例如，CINAHL、PubMed、PsycINFO、SCOPUS、灰色文献报告、临床试验登记处），结合关键词和描述符搜索过去 15 年发表的文献。还将使用其他数据源来识别未编入索引的文献或未发表的结果（例如，文章参考文献、期刊目录、与主要作者联系）。无论设置如何，如果文献涉及老年人、65 岁或以上患有认知障碍且表现出身体攻击行为的人，都将选择该文献。研究团队将系统地提取文献数据。将对文献进行质量评估，以在数据综合中考虑这一方面。将使用内容分析来综合结果。
尚未在各种环境中发现针对患有认知障碍的老年人身体攻击行为的范围综述。本次综述的结果将确定从人文主义角度进一步研究和发展针对这一问题的临床和培训的需求。
目前，无法对系统范围综述方案（例如，PROSPERO）进行注册。
