Sunjaya Astrid Maria, Schreiber Tamar, Kantilal Kumud, Davies Nathan, Griffiths Sarah
University College London, Research Department of Epidemiology and Public Health, London, UK.
UCL Medical School, University College London, London, UK.
Age Ageing. 2025 May 3;54(5). doi: 10.1093/ageing/afaf120.
Given the significant burden and rising prevalence of dementia, it is essential that personalised care is available to people with dementia (PWD) and their family carers. This involves tailoring support to meet individuals' unique needs and preferences. Effective communication is fundamental to delivering such care, yet dementia impacts communication, posing challenges in meeting individuals' needs.
To understand key communication strategies used by healthcare professionals (HCPs) in delivering personalised dementia care.
A systematic search across MEDLINE, EMBASE, EMCare, PsycINFO, CINAHL, Scopus, and Web of Science was conducted (April 2024) without limits on care setting, country or publication date. We identified studies examining communication strategies, barriers, and facilitators for delivering personalised care for PWD and their carers. Study quality was assessed using Joanna Briggs Institute critical appraisal tools and the Mixed Methods Appraisal Tool. Using codebook thematic analysis, a narrative synthesis of findings was developed.
The review included 33 studies, encompassing qualitative, quantitative and mixed-methods research conducted in hospitals, care homes and community settings. Most studies originate from high-income countries and care homes, limiting generalisability. Three themes on communication strategies for delivering personalised dementia care were developed: understanding the person, their family and their care context; communication techniques (verbal, nonverbal and use of external aids); and support for the workforce. The review underscores the importance of combining practical, emotional and relational approaches while highlighting current gaps, such as the need for better workforce support and more research in primary care and culturally diverse contexts.
鉴于痴呆症的重大负担和患病率不断上升,为痴呆症患者(PWD)及其家庭护理人员提供个性化护理至关重要。这涉及量身定制支持措施,以满足个人的独特需求和偏好。有效的沟通是提供此类护理的基础,但痴呆症会影响沟通,在满足个人需求方面带来挑战。
了解医疗保健专业人员(HCPs)在提供个性化痴呆症护理时使用的关键沟通策略。
于2024年4月对MEDLINE、EMBASE、EMCare、PsycINFO、CINAHL、Scopus和Web of Science进行了系统检索,对护理环境、国家或出版日期没有限制。我们确定了研究针对PWD及其护理人员提供个性化护理的沟通策略、障碍和促进因素的研究。使用乔安娜·布里格斯研究所的批判性评价工具和混合方法评价工具对研究质量进行评估。通过编码本主题分析,对研究结果进行了叙述性综合。
该综述纳入了33项研究,包括在医院、养老院和社区环境中进行的定性、定量和混合方法研究。大多数研究来自高收入国家和养老院,限制了研究结果的普遍性。针对提供个性化痴呆症护理的沟通策略形成了三个主题:了解患者本人、其家庭及其护理背景;沟通技巧(言语、非言语以及使用外部辅助工具);以及对工作人员的支持。该综述强调了结合实际、情感和关系方法的重要性,同时突出了当前存在的差距,例如需要更好地支持工作人员,以及在初级保健和文化多元背景下开展更多研究。