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Alzheimers Dement (N Y). 2025 Jun 11;11(2):e70092. doi: 10.1002/trc2.70092. eCollection 2025 Apr-Jun.
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Change in Fall Status of Older People With Dementia and Caregiving Difficulties: Moderation Effects of Living Arrangements.患有痴呆症且存在照料困难的老年人跌倒状况的变化:居住安排的调节作用。
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本文引用的文献

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Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis.照料者干预是否能改善痴呆和轻度认知障碍亲属的结局?一项全面的系统评价和荟萃分析。
Psychol Aging. 2022 Dec;37(8):929-953. doi: 10.1037/pag0000696. Epub 2022 Jun 30.
2
Simultaneously Developing Interventions for Low-/Middle-Income and High-Income Settings: Considerations and Opportunities.同时为低收入/中等收入和高收入环境开发干预措施:考虑因素和机会。
Gerontologist. 2023 Mar 21;63(3):568-576. doi: 10.1093/geront/gnac079.
3
Aligning Dementia Care Science With the Urgent Need for Dissemination and Implementation.使痴呆症护理科学与传播和实施的迫切需求相一致。
J Am Med Dir Assoc. 2021 Oct;22(10):2036-2038. doi: 10.1016/j.jamda.2021.08.026.
4
Meeting the Challenge of Caring for Persons Living With Dementia and Their Care Partners and Caregivers: A Report From the National Academies of Sciences, Engineering, and Medicine.应对照顾痴呆症患者及其护理伙伴和照顾者的挑战:美国国家科学院、工程院和医学院的一份报告
JAMA. 2021 May 11;325(18):1831-1832. doi: 10.1001/jama.2021.4928.
5
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission.《痴呆症的预防、干预与照护:柳叶刀委员会2020年报告》
Lancet. 2020 Aug 8;396(10248):413-446. doi: 10.1016/S0140-6736(20)30367-6. Epub 2020 Jul 30.
6
Embedded Pragmatic Trials in Dementia Care: Realizing the Vision of the NIA IMPACT Collaboratory.痴呆症护理中的嵌入式实用临床试验:实现 NIA IMPACT 协作研究的愿景。
J Am Geriatr Soc. 2020 Jul;68 Suppl 2(Suppl 2):S1-S7. doi: 10.1111/jgs.16621.
7
Dissemination and Implementation of Evidence-Based Dementia Care Using Embedded Pragmatic Trials.使用嵌入式实用临床试验来传播和实施基于证据的痴呆症护理。
J Am Geriatr Soc. 2020 Jul;68 Suppl 2(Suppl 2):S28-S36. doi: 10.1111/jgs.16622.
8
Communal Coping in Couples With Health Problems.患有健康问题的夫妻间的共同应对方式。
Front Psychol. 2019 Mar 6;10:398. doi: 10.3389/fpsyg.2019.00398. eCollection 2019.
9
What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products.什么是证据图谱?已发表的证据图谱及其定义、方法和产物的系统评价。
Syst Rev. 2016 Feb 10;5:28. doi: 10.1186/s13643-016-0204-x.
10
Translating Evidence-Based Dementia Caregiving Interventions into Practice: State-of-the-Science and Next Steps.将基于证据的痴呆症护理干预措施转化为实践:科学现状与后续步骤
Gerontologist. 2015 Apr;55(2):210-26. doi: 10.1093/geront/gnu123. Epub 2015 Feb 17.

美国实施的非药物性痴呆照护者干预措施的证据图谱:差距与影响机会。

Evidence Map of Non-Pharmacological Dementia Care Partner Interventions Implemented in the US: Gaps and Impact Opportunities.

机构信息

Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.

Prism Bio, Cambridge, United States.

出版信息

J Appl Gerontol. 2024 Sep;43(9):1259-1273. doi: 10.1177/07334648241245527. Epub 2024 Apr 17.

DOI:10.1177/07334648241245527
PMID:38629451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321938/
Abstract

There are 200+ tested interventions for care partners (family, friends, and fictive kin) of people living with dementia (PLWD). But these interventions do not systematically cover relevant settings. Nor do these interventions affect all relevant outcomes that matter to people and healthcare systems. We present an evidence map of settings and outcomes from translated interventions to identify gaps. Of 190 studies identified, 31 unique interventions were retained in the evidence map. Identified setting gaps included studies set solely in hospitals/medical centers or set in multiple settings. Identified outcome gaps included interventions that improved care partner beliefs about providing care, care partner negative coping strategies, PLWD resources (e.g., social support), and PLWD coping strategies. Armed with an understanding of present gaps, we call on researchers to fill the identified gaps to ensure systematic coverage of settings and evaluation of outcomes that matter to people and healthcare systems.

摘要

针对痴呆症患者(PLWD)的护理者(家属、朋友和虚构亲属),已有 200 多种经过测试的干预措施。但这些干预措施并没有系统地涵盖相关环境,也没有影响到对患者和医疗体系都重要的所有相关结果。我们展示了从翻译干预措施中得出的环境和结果证据图,以确定差距。在确定的 190 项研究中,有 31 项独特的干预措施被保留在证据图中。确定的环境差距包括仅在医院/医疗中心或在多个环境中进行的研究。确定的结果差距包括改善护理人员对提供护理的信念、护理人员消极应对策略、PLWD 资源(如社会支持)和 PLWD 应对策略的干预措施。了解了目前的差距,我们呼吁研究人员填补已确定的差距,以确保系统地涵盖对患者和医疗体系都重要的环境,并评估结果。