Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain.
HLA Vistahermosa Hospital, 03015 Alicante, Spain.
Int J Environ Res Public Health. 2021 Sep 3;18(17):9296. doi: 10.3390/ijerph18179296.
People with dementia (PwD) occupy around 25% of the hospital beds. Once PwD are admitted to hospitals, their cognitive impairment is not considered in most of the cases. Thus, it causes an impact on the development of the disease becoming a stressful situation as care plans are not adapted to PwD. The aim of this study was to explore the published core elements when designing a dementia care pathway for hospital settings. A scoping review was conducted to provide an overview of the available research evidence and identify the knowledge gaps regarding the topic. This review highlights person-centered care, compassionate care and end-of-life process as some of the key elements that should integrate the framework when designing a dementia care pathway. Architectonical outdoor and indoor hospital elements have also been found to be considered when adapting the healthcare context to PwD. Findings provide information about the key points to focus on to successfully design dementia interventions in hospital environments within available resources, mostly in those contexts in which national dementia plans are in its infancy. Hospitals should transform their patients' routes and processes considering the increasing demographic changes of people with cognitive impairment.
痴呆症患者（PwD）占据了大约 25%的医院床位。一旦 PwD 住院，他们的认知障碍在大多数情况下都没有得到考虑。因此，这对疾病的发展产生了影响，成为了一种压力大的情况，因为护理计划没有根据 PwD 进行调整。本研究旨在探索在医院环境中设计痴呆症护理路径时发布的核心要素。进行了范围综述，以提供对现有研究证据的概述，并确定该主题的知识空白。该综述强调了以患者为中心的护理、关爱护理和临终过程是在设计痴呆症护理路径时应纳入框架的关键要素。还发现，在调整医疗环境以适应 PwD 时，需要考虑医院的户外和室内建筑元素。研究结果提供了有关在可用资源范围内成功设计医院环境中的痴呆症干预措施的重点信息，主要是在国家痴呆症计划还处于起步阶段的那些环境中。医院应考虑认知障碍患者的人数不断增加，改变患者的就诊路线和流程。
