Price Rachel S
Manchester Metropolitan University Manchester UK.
Aging Med (Milton). 2023 Apr 29;6(2):184-194. doi: 10.1002/agm2.12253. eCollection 2023 Jun.
A systematic review conducted by Price and Keady (Journal of Nursing and Healthcare of Chronic Illness, 2, 88 and 2010) demonstrated that there was a dearth of health-promoting literature available for people diagnosed with vascular dementia. The correlation between health behavior and the onset of cardiovascular change that can lead to vascular dementia had demonstrated a need for health education and health-promoting information to be made accessible to vulnerable populations to ameliorate the risk of cognitive decline because of cardiovascular disease. Dementia is a progressive and life-limiting condition and with limited treatment options and a lack of progress in identifying a way to delay onset or even cure the condition. Focus must be targeted towards risk reduction strategies that serve to reduce onset and decline and limit the global burden on not only the individual with the condition and their carers but also to the health and social care economy. To identify the progress that has been made in developing health-promoting literature and patient education guidance since 2010 a systematic literature review was undertaken. Using thematic analysis, , and databases were accessed and following guidelines an inclusion and exclusion criteria was developed in order to locate peer-reviewed articles. Titles and abstracts were reviewed to identify a match with key terms, and from 133 screened abstracts eight studies met the inclusion requirements. From the eight studies, thematic analysis was implemented to identify shared understanding of experiences relating to health promotion in vascular dementia. The methodology for the study was replicated from the authors' previous systematic review in 2010. Five key themes were identified in the literature (). From what little evidence was available to review the thematic analysis has demonstrated developments in knowledge into the link between the onset of cognitive impairment and vascular dementia because of compromised cardiovascular health. Modifying health behavior has become essential in ameliorating the risk of vascular cognitive decline. With these developments the synthesis of the literature demonstrates that even with these insights there continues to be a lack of targeted material that individuals can access to understand the link between cardiovascular health and cognitive decline. It is recognized that maximizing cardiovascular health has the potential to lessen the risk of vascular cognitive impairment and vascular dementia developing and progressing yet targeted health promoting material remains lacking. With the developments in understanding the causal links between poor cardiovascular health, vascular cognitive impairment, and vascular dementia progress now needs to be made in developing targeted health promotion material for individuals to access to share this knowledge to reduce the potential onset and subsequent burden of dementia.
普赖斯和基迪（《慢性病护理与保健杂志》，第2卷，第88页，2010年）进行的一项系统综述表明，针对被诊断患有血管性痴呆症的人群，促进健康的文献资料匮乏。健康行为与可能导致血管性痴呆的心血管变化发作之间的相关性表明，需要让弱势群体能够获取健康教育和促进健康的信息，以降低因心血管疾病导致认知能力下降的风险。痴呆症是一种进行性且危及生命的病症，治疗选择有限，在确定延缓发病甚至治愈该病的方法方面也缺乏进展。必须将重点放在降低风险的策略上，这些策略不仅有助于减少发病和病情恶化，还能减轻对患病个体及其护理人员的全球负担，以及对健康和社会护理经济的负担。为了确定自2010年以来在编写促进健康的文献和患者教育指南方面取得的进展，进行了一项系统的文献综述。采用主题分析法，检索了[具体数据库名称1]、[具体数据库名称2]和[具体数据库名称3]数据库，并按照[具体指南名称]制定了纳入和排除标准，以便查找经过同行评审的文章。对标题和摘要进行了审查，以确定与关键词的匹配情况，在筛选的133篇摘要中，有8项研究符合纳入要求。从这8项研究中，实施了主题分析，以确定对血管性痴呆症健康促进相关经历的共同理解。该研究的方法是仿照作者2010年之前的系统综述。在文献中确定了五个关键主题（[具体主题内容]）。从现有的少量可供审查的证据来看，主题分析表明，由于心血管健康受损，在认知障碍发作与血管性痴呆之间的联系方面，知识有了新的发展。改变健康行为对于降低血管性认知能力下降的风险至关重要。随着这些进展，文献综述表明，即使有了这些见解，仍然缺乏个人能够获取的有针对性的材料，以了解心血管健康与认知能力下降之间的联系。人们认识到，最大限度地提高心血管健康有可能降低血管性认知障碍和血管性痴呆发生及发展的风险，但仍然缺乏有针对性的促进健康材料。随着对心血管健康不佳、血管性认知障碍和血管性痴呆之间因果联系理解的发展，现在需要在为个人编写有针对性的促进健康材料方面取得进展，以便他们能够获取并分享这些知识，以减少痴呆症的潜在发病和后续负担。
