A Scoping Review of Dementia Symptom Management in Persons with Dementia Living in Home-based Settings.
A Scoping Review of Dementia Symptom Management in Persons with Dementia Living in Home-based Settings.
复制标题
生活在家庭环境中的痴呆症患者的痴呆症状管理的范围评论。
DOI：
10.1007/s13670-019-00307-4
复制
发表时间：
2019-12
影响因子：
1.2
通讯作者：
Brody AA
中科院分区：
文献类型：
--
作者：
Schneider CE;Bristol AA;Brody AA
我们的老年人中有很大一部分患有阿尔茨海默病和相关的痴呆症，随着人口老龄化，未来被诊断出患有这种疾病的人数预计会急剧增加。由于与痴呆症相关的行为和心理症状的表现，痴呆症患者带来了独特的医疗挑战。缺乏老年临床医生以及经过适当培训、能够处理痴呆症患者症状的非老年专家队伍，加剧了提供有效护理的挑战。药物干预是治疗大多数痴呆行为心理症状（BPSD）的禁忌。医疗保险和医疗补助服务中心现在要求将非药物干预作为一线治疗。目前还没有确定对BPSD的非药物干预措施是最有效的，以及对生活在家中的PWD进行此类干预的基础设施是什么。本研究的目的是检查以家庭为基础的环境中管理痴呆症症状的干预措施为重点的文献。对过去三年发表的关于这一主题的文献进行了范围审查。共发现1224篇文献，其中9篇符合纳入标准。五篇文章使用了职业疗法，两篇使用了运动疗法，一篇文章使用了芳香疗法和音乐疗法。大多数文章使用基于职业的治疗作为他们对BPSD的干预。总的来说，研究表明非药物干预可以有效地帮助管理以家庭为基础的BPSD患者，尽管干预措施的维持效果需要在未来的研究中进一步探索，以及如何确保这些干预措施在这种环境下被护理人员更广泛地使用。
A large proportion of our older adults live with Alzheimer’s Disease and Related Dementias and the number of those diagnosed in the future is expected to increase dramatically as the population ages. Persons with dementia bring unique healthcare challenges due to the manifestation of behavioral and psychological symptoms associated with the disease. The lack of geriatric clinicians as well as a properly trained non-geriatric specialist workforce capable of addressing the symptoms persons with dementia exacerbate the challenge of providing effective care. Pharmacological interventions are contraindicated for treatment of most behavioral psychological symptoms of dementia (BPSD). The Centers for Medicare and Medicaid Services now requires that nonpharmacological interventions be used as a first-line treatment. It has not been determined what nonpharmacological intervention for BPSD are most effective and what the infrastructure would entail for such interventions for PWD living at home. The purpose of this study is to examine the literature focusing on interventions aimed towards managing persons’ symptoms of dementia living in home-based settings. A scoping review examining the literature published on this topic over the last three years was conducted. One thousand twenty four articles were found, of which nine met inclusion criteria. Five articles used occupational based therapy, two used exercise therapy and one article was found utilizing aromatherapy and music therapy. The majority of articles used occupational based therapy as their intervention for BPSD. Overall, research showed non-pharmacological interventions can be effective in helping mange BPSD in persons living in home-based settings, although maintenance effects of interventions should be further explored in future research as well as how to ensure these interventions are more widely utilized by caregivers in this setting.
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影响因子：
9.9
作者：
Cummings, JL
通讯作者：
Cummings, JL
影响因子：
2.1
作者：
Bradford A;Kunik ME;Schulz P;Williams SP;Singh H
通讯作者：
Singh H
影响因子：
6.3
作者：
Gitlin, Laura N.;Arthur, Paul;Mann, William C.
通讯作者：
Mann, William C.
影响因子：
1.8
作者：
Laver, Kate;Cumming, Robert;Yates, Mark
通讯作者：
Yates, Mark
影响因子：
2.7
作者：
Kaymaz, Tugce Turten;Ozdemir, Leyla
通讯作者：
Ozdemir, Leyla