Degsell Eskil, Al-Adili Lina, Gustavsson Petter, Brommels Mats, Dannapfel Petra
Swedish Brain Tumour Association, Sweden.
Neuro-Oncology Clinical Research, Innovation, Implementation and Collaboration, Karolinska University Hospital, Stockholm, Sweden.
Int J Integr Care. 2025 Jan 28;25(1):5. doi: 10.5334/ijic.8577. eCollection 2025 Jan-Mar.
Addressing challenges due to demographic changes and the quest for improved value in healthcare requires an extended integrated approach to care that fosters collaboration between all stakeholders, especially within collaboration supporting cognitively impaired patients. The aim is to review existing studies on interventions to improve communication and collaboration between such patients, their caregivers and healthcare staff.
Following PRISMA guidelines, we systematically searched electronic databases Medline (OVID), CINAHL (Ebsco), and Web of Science (Clarivate) for peer-reviewed literature [2010-2020] focusing on intervention studies. Papers were excluded if not assessing the impact of interventions or only presenting a study protocol.
Twelve studies explored diverse approaches to social support, all with the aim of improving communication and collaboration among stakeholders, and identified three intervention types: , and .
The interventions employed various approaches and assessed a range of outcomes, demonstrating the benefits of enhancing communication and collaboration among stakeholders. Yet only a few studies included the full triad of partners in care.
There is still much to be done to achieve the extended integration of care services and support that will benefit from patient and caregiver involvement.
应对人口结构变化带来的挑战以及追求更高的医疗保健价值，需要一种扩展的综合护理方法，以促进所有利益相关者之间的合作，特别是在支持认知障碍患者的合作方面。目的是回顾现有的关于改善此类患者、其护理人员和医护人员之间沟通与合作的干预措施的研究。
遵循PRISMA指南，我们系统地检索了电子数据库Medline（OVID）、CINAHL（Ebsco）和Web of Science（Clarivate），以查找2010年至2020年期间侧重于干预研究的同行评审文献。如果未评估干预措施的影响或仅呈现研究方案，则排除相关论文。
十二项研究探索了多种社会支持方法，所有这些方法的目的都是改善利益相关者之间的沟通与合作，并确定了三种干预类型： ，以及 。
这些干预措施采用了各种方法并评估了一系列结果，证明了加强利益相关者之间沟通与合作的益处。然而，只有少数研究纳入了护理中的全部三方合作伙伴。
要实现护理服务和支持的扩展整合，使患者和护理人员参与其中并从中受益，仍有许多工作要做。
