Case Western Reserve University, Cleveland, OH, USA.
University of Wisconsin-Madison, USA.
Trauma Violence Abuse. 2024 Dec;25(5):3827-3842. doi: 10.1177/15248380241265379. Epub 2024 Jul 31.
With the rapid increase in the aging population, more attention has been paid to studying older adults with dementia. Despite the fact that older adults with dementia are more likely to be abused compared to their cognitively intact counterparts, little attention has been paid to abuse within this population. This systematic review, conducted using the PRISMA model, aims to critically examine, evaluate, and synthesize literature on protective factors and adverse effects of elder abuse by informal caregivers among individuals with dementia. A search was undertaken using the Ageline, Medline, CINAHL, and PsycINFO databases for peer-reviewed articles published in English up to June 2023. A total of 291 articles were identified by the systematic search, and 8 articles were included in the review. The results showed that protective factors related to elder abuse are mainly examined at a perpetrator level, including caregiver-related, relational, and contextual factors. Adverse effects, specifically an increased risk of various medical conditions and poor medication adherence, were identified but less frequently discussed. The findings indicated future directions for practitioners, researchers, and policymakers to better serve older adults with dementia and their caregivers.
随着人口老龄化的迅速增加，人们越来越关注研究痴呆症老年患者。尽管与认知正常的老年人相比，痴呆症老年人更容易受到虐待，但针对这一人群的虐待问题却很少受到关注。本系统评价采用 PRISMA 模型，旨在批判性地审查、评估和综合关于痴呆症患者的非专业护理人员的虐待的保护因素和不良影响的文献。使用 Ageline、Medline、CINAHL 和 PsycINFO 数据库，对截至 2023 年 6 月发表的英文同行评审文章进行了系统检索。通过系统检索共确定了 291 篇文章，其中 8 篇文章被纳入综述。结果表明，与虐待相关的保护因素主要在施虐者层面进行了研究，包括与照顾者相关的、关系方面的和环境方面的因素。已经确定了不良影响，特别是各种医疗条件的风险增加和药物依从性差，但讨论得较少。研究结果为从业者、研究人员和政策制定者指明了未来的方向，以更好地为痴呆症老年患者及其护理人员服务。
