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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.

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。

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