Evidence-based occupational therapy for people with dementia and their families: What clinical practice guidelines tell us and implications for practice
Evidence-based occupational therapy for people with dementia and their families: What clinical practice guidelines tell us and implications for practice
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DOI：
10.1111/1440-1630.12309
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发表时间：
2017-02-01
影响因子：
1.8
通讯作者：
Yates, Mark
中科院分区：
文献类型：
--
作者：
Laver, Kate;Cumming, Robert;Yates, Mark
背景/目的澳大利亚发布了首个以证据为基础的痴呆症患者护理临床实践指南和原则。该指南为职业治疗师详细介绍了一些重要的循证建议。本文的目的是(1)提供指南制定的概述，(2)描述支持职业治疗推荐的证据。描述了对痴呆症患者有效的职业治疗方案的共同特征。方法指南的制定包括改编国外现有的高质量指南和17项系统评价，以确保纳入最新的高质量证据。其中一项系统评价涉及检查干预措施的证据，以促进痴呆症患者的独立性。具体来说，我们研究了职业疗法的证据及其对日常生活活动、生活质量和护理影响的影响。结果《指南》共提出109条建议。研究发现，职业疗法可显著提高患者日常生活活动的独立性，改善生活质量。有效的职业治疗计划包括：环境评估、解决问题策略、照顾者教育和互动式照顾者技能训练。结论：在社区环境中与痴呆症患者一起工作的职业治疗师应该确保他们的时间花在那些被证明是有效的干预方面。
Background/aimThe first evidence-based Clinical Practice Guidelines and Principles of Care for People with Dementia in Australia have been released. The Guidelines detail a number of important evidence-based recommendations for occupational therapists. The aim of this paper is (1) to provide an overview of Guideline development, and (2) to describe the evidence supporting a recommendation for occupational therapy. Common characteristics of effective occupational therapy programmes for people with dementia are described.MethodsGuideline development involved adaptation of existing high-quality guidelines developed overseas and 17 systematic reviews to ensure that the most recent high-quality evidence was included. One of the systematic reviews involved examining the evidence for interventions to promote independence in people with dementia. Specifically, we looked at the evidence for occupational therapy and its effect on activities of daily living, quality of life and carer impact.ResultsA total of 109 recommendations are included in the Guidelines. Occupational therapy was found to significantly increase independence in activities of daily living and improve quality of life. Effective occupational therapy programmes involve: environmental assessment, problem solving strategies, carer education and interactive carer skills training.ConclusionOccupational therapists working with people with dementia in community settings should ensure that their time is spent on those aspects of intervention that are shown to be effective.