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旨在提高非正式照料者对痴呆症解剖学、生理学、病程及行为影响的认识的社区教育干预措施的有效性:一项系统综述。

The effectiveness of educational interventions in the community that aim to improve informal carers knowledge of dementia anatomy, physiology, progression, and impact on behavior: a systematic review.

作者信息

Bushell Dayna, Jones Cindy, Moro Christian

机构信息

Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.

Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia.

出版信息

Front Dement. 2023 Jun 27;2:1156863. doi: 10.3389/frdem.2023.1156863. eCollection 2023.

Abstract

INTRODUCTION

Dementia education is a vital component of dementia care and management for patients and their informal carers and family. To fully understand dementia, some knowledge of the anatomy and physiology of the brain may be necessary and would help informal carers understand behaviors of dementia to help cope with care provision.

METHOD

This integrative review aims to identify, appraise, and assess whether dementia education resources include information detailing the anatomy of the brain and its relationship with dementia and whether this information improves knowledge (PROSPERO Registration Number: CRD42022320530). Literature published from 2012 until May 4, 2022 was searched in eight databases with six articles meeting the inclusion criteria.

RESULTS

Using the Mixed Methods Appraisal Tool (2018) methodological quality varied across studies. There are limited educational interventions which incorporate information on the anatomy and the physiology of the brain. None of the interventions focused solely on providing neurological education; however, all contained at least some content that addressed this, as per inclusion criteria. In most cases, the educational interventions were well-received and delivered, which did not differ, whether they were delivered in person or virtually. The majority of the studies reported an increase in dementia knowledge (measured pre-post or perceived) following the intervention.

DISCUSSION

Educational interventions on brain anatomy and physiology remain limited, and if included, are often not the focus, and as such more rigorous study is required to investigate the effect of educational interventions on dementia knowledge and their role in dementia care.

摘要

引言

痴呆症教育是为患者及其非正式护理人员和家人提供痴呆症护理与管理的重要组成部分。为了全面了解痴呆症,可能需要一些大脑解剖学和生理学知识,这将有助于非正式护理人员理解痴呆症患者的行为,从而更好地提供护理。

方法

本综合综述旨在识别、评估并判断痴呆症教育资源是否包含详细介绍大脑解剖结构及其与痴呆症关系的信息,以及这些信息是否能提高知识水平(PROSPERO注册号:CRD42022320530)。在八个数据库中检索了2012年至2022年5月4日发表的文献,共有六篇文章符合纳入标准。

结果

使用混合方法评估工具(2018),各研究的方法学质量参差不齐。纳入大脑解剖学和生理学信息的教育干预措施有限。没有一项干预措施仅专注于提供神经学教育;然而,根据纳入标准,所有干预措施至少都包含了一些涉及这方面的内容。在大多数情况下,教育干预措施受到好评且得以实施,无论采用面对面还是虚拟方式实施,效果并无差异。大多数研究报告称,干预后痴呆症知识有所增加(通过前后测量或感知来衡量)。

讨论

关于大脑解剖学和生理学的教育干预措施仍然有限,即便包含相关内容,通常也不是重点,因此需要更严格的研究来调查教育干预措施对痴呆症知识的影响及其在痴呆症护理中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f25e/11285698/9193dc2e72fb/frdem-02-1156863-g0001.jpg

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