School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
J Clin Nurs. 2023 Sep;32(17-18):5430-5444. doi: 10.1111/jocn.16617. Epub 2023 Jan 22.
To synthesise information about the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care from the perspectives of the residents, families and care staff.
Older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care have care needs that are complex. Identifying these needs is critical to ensure quality care is delivered.
An integrative review of literature.
Five databases were searched for relevant articles: APA PsychINFO, CINAHL, MEDLINE, Scopus and Google Scholar. The search and screening were guided by PRISMA guidelines and Whittemore and Knafl's five-step framework.
Fifteen papers were included in this review consisting of 4 quantitative, 9 qualitative and 2 mixed method studies. Two themes described the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care. The first was related to culture-specific needs, and the second was related to dementia-specific care needs. Culture-specific needs comprised of three subthemes: (a) common language, (b) traditional food, and (c) social and spiritual requirements. Dementia-specific needs comprised of (a) focusing on comfort in addition to clinical requirements and (b) individualised care that addresses behavioural symptoms of dementia.
Identifying and meeting the needs of older people with dementia from culturally and linguistically diverse backgrounds will improve quality care delivery in addition to increased caregiving satisfaction among residents, families and care staff, and the management of behaviours that characterise dementia.
Care needs of older people with dementia from culturally and linguistically diverse backgrounds living in the residential setting can be complex. Education and training of care staff including nurses must be considered so that provision of care is inclusive of the cultural and dementia needs for older people in residential aged care.
综合来自文化和语言背景多样化、居住在养老院的老年痴呆症患者的需求信息，从患者、家属和护理人员的角度出发。
居住在养老院的文化和语言背景多样化的老年痴呆症患者的护理需求复杂。确定这些需求对于确保提供高质量的护理至关重要。
文献综合回顾。
从 APA PsychINFO、CINAHL、MEDLINE、Scopus 和 Google Scholar 这五个数据库中搜索相关文章。搜索和筛选过程遵循 PRISMA 指南和 Whittemore 和 Knafl 的五步框架。
本次综述共纳入 15 篇论文，包括 4 项定量研究、9 项定性研究和 2 项混合方法研究。两个主题描述了居住在养老院的文化和语言背景多样化的老年痴呆症患者的需求。第一个主题与特定文化的需求有关，第二个主题与痴呆症特定的护理需求有关。特定文化的需求包括三个子主题：（a）通用语言，（b）传统食物，和（c）社会和精神需求。痴呆症特定的需求包括：（a）除了临床需求外，还要关注舒适，以及（b）针对痴呆症行为症状的个性化护理。
除了提高居民、家属和护理人员的护理满意度外，确定和满足文化和语言背景多样化的老年痴呆症患者的需求还将改善护理质量，同时管理痴呆症的特征行为。
居住在养老院环境中的文化和语言背景多样化的老年痴呆症患者的护理需求可能很复杂。必须考虑对护理人员（包括护士）进行教育和培训，以便在提供护理时充分考虑到老年人的文化和痴呆症需求。
