Schnelli Angela, Karrer Melanie, Mayer Hanna, Zeller Adelheid
Department of Nursing Science, University of Vienna, Vienna, Austria.
Department of Health, Center for Dementia Care, Institute of Applied Nursing Sciences, St. Gallen University of Applied Sciences, St. Gallen, Switzerland.
J Clin Nurs. 2023 Aug;32(15-16):4541-4558. doi: 10.1111/jocn.15363. Epub 2020 Jun 21.
To outline and to examine the current research and grey literature on aggressive incidents of persons with dementia towards professional caregivers in the home care setting. We intended to identify evidence and research gaps in this field.
Worldwide, around fifty million people are living with dementia. Current research indicates that aggressive behaviour of persons with dementia towards professional caregivers occurs frequently in inpatient settings. However, there has been little research on this phenomenon in the home care setting.
The design entails a scoping review using the methodological framework of Arksey and O'Malley and PRISMA-ScR.
A systematic literature search in five databases and a web search in Google Scholar was conducted. Title and abstract screening and a full-text screening were conducted by two independent authors. A free web search for grey literature was conducted in Google.
The search yielded 1,376 hits. A total of seven journal articles met the inclusion criteria. In the free web search, six references were identified for inclusion, resulting in a total of 13 references. We identified the following four themes: (1) aggressive behaviour in the context of dementia, (2) triggering factors of aggressive behaviour in persons with dementia, (3) skills and educational needs and (4) hindrances to solving the problem of aggressive behaviour.
There is a lack of literature on aggressive behaviour of persons with dementia in the home care setting, and various hindrances to solving this problematic behaviour have been identified.
For home caregivers, specific education concerning communication skills and responding to aggressive behaviour may help to deal with the situation. A further approach may involve specific training aimed to improve caregivers' confidence.
概述并审视目前关于居家护理环境中痴呆症患者对专业护理人员的攻击性行为的研究及灰色文献。我们旨在找出该领域的证据及研究空白。
全球约有五千万人患有痴呆症。目前的研究表明，痴呆症患者对专业护理人员的攻击性行为在住院环境中经常发生。然而，在居家护理环境中对这一现象的研究甚少。
采用阿克西和奥马利的方法框架以及PRISMA-ScR进行范围综述。
在五个数据库中进行系统的文献检索，并在谷歌学术中进行网络搜索。由两位独立作者进行标题和摘要筛选以及全文筛选。在谷歌中对灰色文献进行免费网络搜索。
搜索共得到1376条结果。共有七篇期刊文章符合纳入标准。在免费网络搜索中，确定了六篇参考文献纳入，共计13篇参考文献。我们确定了以下四个主题：（1）痴呆症背景下的攻击性行为，（2）痴呆症患者攻击性行为的触发因素，（3）技能与教育需求，以及（4）解决攻击性行为问题的障碍。
居家护理环境中缺乏关于痴呆症患者攻击性行为的文献，并且已经确定了各种解决这种问题行为的障碍。
对于居家护理人员，关于沟通技巧和应对攻击性行为的特定教育可能有助于应对这种情况。另一种方法可能包括旨在提高护理人员信心的特定培训。
