Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Center of Korea: A JBI Affiliated Group, College of Nursing, Yonsei University, Seoul, Republic of Korea.
College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
J Clin Nurs. 2023 Oct;32(19-20):6987-6997. doi: 10.1111/jocn.16816. Epub 2023 Jun 27.
To propose educational strategies to prevent delirium in older adults.
Integrative review.
This review followed the methodology of Whittemore and Knafl (J Adv Nurs 52(5):546-553, 2005. 10.1111/j.1365-2648.2005.03621.x).
A literature search was performed of the PubMed, CINAHL, Embase, Cochrane Library CENTRAL, and Scopus databases on 8 July 2022.
Three themes of educational interventions were identified: capacity building, resource provision and enhancement of relationships, collectively termed Fa-CARE. Educational interventions improved family caregivers' knowledge about delirium, their anxiety; depression; self-efficacy; and attitudes. Among older adults, these interventions improved the duration, severity and incidence of delirium; functional abilities; and length of hospital stay.
Providing education to family caregivers benefits both those caregivers and the older adults. When planning educational intervention, diverse and innovative approaches need to be considered.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study can guide family education regarding the care of older adults with delirium.
Educational interventions positively impacted both family caregivers and older adults with delirium. Educational interventions provide family caregivers with resources, improve their capacity for delirium management, and enhance their relationships with older adults. This study suggests future directions in education for family caregivers of older adults with delirium.
This review adhered to the EQUATOR guidelines by using the PRISMA 2020 checklist.
No patient or public contribution.
提出预防老年人谵妄的教育策略。
综合回顾。
本综述遵循 Whittemore 和 Knafl(J Adv Nurs 52(5):546-553, 2005. 10.1111/j.1365-2648.2005.03621.x)的方法。
2022 年 7 月 8 日对 PubMed、CINAHL、Embase、Cochrane Library CENTRAL 和 Scopus 数据库进行了文献检索。
确定了三种教育干预主题:能力建设、资源提供和关系增强,统称为 Fa-CARE。教育干预提高了家庭照顾者对谵妄、焦虑、抑郁、自我效能和态度的认识。在老年人中,这些干预措施改善了谵妄的持续时间、严重程度和发生率、功能能力和住院时间。
为家庭照顾者提供教育对照顾者和老年人都有益。在规划教育干预时,需要考虑多种创新方法。
对专业人员和/或患者护理的影响:本研究可以指导家庭对患有谵妄的老年人进行教育。
教育干预对家庭照顾者和患有谵妄的老年人都产生了积极影响。教育干预为家庭照顾者提供资源,提高他们对谵妄管理的能力,并增强他们与老年人的关系。本研究为患有谵妄的老年人的家庭照顾者教育提出了未来的方向。
本综述遵循 EQUATOR 指南,使用 PRISMA 2020 清单。
无患者或公众贡献。