Department Public Health and Primary Care, Leiden University Medical Center, the Netherlands; WoonZorgcentra Haaglanden, The Hague, the Netherlands.
Department Public Health and Primary Care, Leiden University Medical Center, the Netherlands.
Geriatr Nurs. 2022 Mar-Apr;44:176-183. doi: 10.1016/j.gerinurse.2022.01.017. Epub 2022 Feb 19.
This systematic review summarizes the experiences with maintaining meaningful activities for persons with dementia during transitions of care, including related barriers and facilitators, and interventions and strategies. A systematic search was performed in eight databases. The methodological quality was assessed with the Mixed Methods Appraisal Tool. Four articles were included; one describing the transition from home to hospital and vice versa, and three describing the transition from home to nursing home. The narrative synthesis revealed a decrease of meaningful activities after transition. Facilitators of and barriers to maintaining meaningful activities during transitions were related to the person with dementia, informal caregivers, healthcare professionals and organization of care, as well as the environment. Interventions and strategies focused on continuously adjusting meaningful activities to the person. To conclude, maintaining meaningful activities during transitions is an under-researched area. Several recommendations are provided for healthcare professionals and organizations.
本系统综述总结了在护理交接期间维持痴呆症患者有意义活动的经验，包括相关的障碍和促进因素，以及干预措施和策略。在八个数据库中进行了系统搜索。使用混合方法评估工具评估了方法学质量。纳入了 4 篇文章；其中 1 篇描述了从家庭到医院和反之亦然的过渡，3 篇描述了从家庭到养老院的过渡。叙述性综合揭示了过渡后有意义活动的减少。在过渡期间维持有意义活动的促进因素和障碍与痴呆症患者、非正式照顾者、医疗保健专业人员和护理组织以及环境有关。干预措施和策略侧重于将有意义的活动不断调整到个人。总之，在过渡期间维持有意义的活动是一个研究不足的领域。为医疗保健专业人员和组织提供了一些建议。
