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老年痴呆症患者的居家护理:一项系统综述。

Home care for the elderly with dementia: a systematic review.

作者信息

Pelucio Luísa, Dourado Marcia Cristina Nascimento, Quagliato Laiana Azevedo, Nardi Antonio Egidio

机构信息

Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Depression Resistant Ambulatory, Rio de Janeiro RJ, Brazil.

Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro RJ, Brazil.

出版信息

Dement Neuropsychol. 2023 Nov 10;17:e20220052. doi: 10.1590/1980-5764-DN-2022-0052. eCollection 2023.

DOI:10.1590/1980-5764-DN-2022-0052
PMID:37965481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10642071/
Abstract

OBJETIVE

With the global population aging, there is a growing need for home-based care to meet the health needs of the elderly. However, the quality of care provided to the aged population is now arguably a significant challenge for most healthcare systems worldwide.

METHODS

The present review included 13 original studies on home care and its effects on dementia patients, describing how patient care and adequate treatment can be collaborative for their improvement, for case management, and optimizing pain control and specificities.

RESULTS

Among the findings, it was evidenced that the environment impacts the form of care, once being at home can improve communication and global monitoring of dementia patients.

CONCLUSION

In addition to the results analyzed in this review, there is a need for future, well-designed studies on the different aspects of home care, highlighting the importance of evaluating the type of care for each patient in the quest to optimize the care.

摘要

目的

随着全球人口老龄化,对居家护理以满足老年人健康需求的需求日益增长。然而,目前为老年人群提供的护理质量对全球大多数医疗保健系统来说无疑是一项重大挑战。

方法

本综述纳入了13项关于居家护理及其对痴呆症患者影响的原创研究,描述了如何通过患者护理和适当治疗的协作来促进患者改善、病例管理以及优化疼痛控制和特异性。

结果

在这些研究结果中,有证据表明环境会影响护理形式,因为居家可以改善对痴呆症患者的沟通和全面监测。

结论

除了本综述分析的结果外,未来还需要针对居家护理的不同方面进行精心设计的研究,突出在寻求优化护理过程中评估每位患者护理类型的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae04/10642071/6cccdd4eef57/1980-5764-DN-17-e20220052-fg1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae04/10642071/6cccdd4eef57/1980-5764-DN-17-e20220052-fg1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae04/10642071/6cccdd4eef57/1980-5764-DN-17-e20220052-fg1.jpg

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本文引用的文献

1
The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study.COVID-19 封锁对居家痴呆症患者正规和非正规资源利用的影响:前瞻性 PAN.DEM 研究结果。
BMC Health Serv Res. 2021 Sep 22;21(1):1003. doi: 10.1186/s12913-021-07041-8.
2
Outpatient physiotherapy versus home-based rehabilitation for patients at risk of poor outcomes after knee arthroplasty: CORKA RCT.门诊物理治疗与家庭为基础的康复治疗对膝关节置换术后预后不良风险患者的效果比较:CORKA RCT。
Health Technol Assess. 2020 Nov;24(65):1-116. doi: 10.3310/hta24650.
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LIVE@Home.Path-innovating the clinical pathway for home-dwelling people with dementia and their caregivers: study protocol for a mixed-method, stepped-wedge, randomized controlled trial.
居家痴呆症患者及其照护者的临床路径创新:一项混合方法、阶梯式、随机对照试验的研究方案。
Trials. 2020 Jun 9;21(1):510. doi: 10.1186/s13063-020-04414-y.
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Association between dysphagia risk and unplanned hospitalization in older patients receiving home medical care.居家医疗老年患者吞咽困难风险与非计划性住院的相关性研究。
Geriatr Gerontol Int. 2019 Oct;19(10):977-981. doi: 10.1111/ggi.13753. Epub 2019 Aug 15.
5
Incidence of hip fracture among long-term care insurance beneficiaries with dementia: comparison of home care and institutional care services.患有痴呆症的长期护理保险受益人的髋部骨折发生率:家庭护理与机构护理服务的比较。
BMC Geriatr. 2019 May 28;19(1):152. doi: 10.1186/s12877-019-1161-8.
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Medicaid Cost Savings of a Preventive Home Visit Program for Disabled Older Adults.为残疾老年人提供预防性家庭访视计划以节省医疗补助支出。
J Am Geriatr Soc. 2018 Mar;66(3):614-620. doi: 10.1111/jgs.15143. Epub 2017 Nov 22.
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Risk of Care Home Placement following Acute Hospital Admission: Effects of a Pay-for-Performance Scheme for Dementia.急性住院后入住养老院的风险:痴呆症按绩效付费计划的影响。
PLoS One. 2016 May 26;11(5):e0155850. doi: 10.1371/journal.pone.0155850. eCollection 2016.
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BMC Geriatr. 2016 Jan 6;16:2. doi: 10.1186/s12877-015-0177-y.
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