Prevalence of involuntary treatment among community-living older persons with dementia: A systematic review

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-07-11 DOI:10.1016/j.archger.2024.105574

Minyan Liu , Yuqiang Wang , Qinglin Zeng , Jia Li , Liping Yang , Yanli Zeng

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引用次数: 0

Abstract

Objective

This systematic review and meta-analysis aimed to ascertain the prevalence of involuntary treatment among community-living older persons with dementia and explore associated factors.

Methods

We comprehensively searched seven electronic databases (PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PsycINFO, and Scopus) from their inception to October 17, 2023, with an update conducted on April 1, 2024. Meta-analysis synthesized prevalence estimates of involuntary treatment and its three subcategories, with 95% confidence intervals.

Results

This study included 11 research papers involving 12,136 community-dwelling individuals with cognitive impairment and dementia from 19 countries. The pooled prevalence of involuntary treatment among community-dwelling older persons with dementia was 45.2% (95% CI: 33.7−60.5%). Subcategories included physical restraints (9.8%, 95% CI: 5.1−18.8%), psychotropic medication (19.1%, 95% CI: 13.6−26.9%), and non-consensual care (34.3%, 27.6−42.7%). Factors influencing involuntary treatment were categorized as caregiver-related and care recipient-related.

Conclusion

This study underscores the prevalent use of involuntary treatment among community-dwelling older persons with dementia, emphasizing its association with specific caregiver and care recipient factors. Addressing these findings underscores the importance of proactive measures and targeted interventions to improve the quality of care for this vulnerable population.

查看原文本刊更多论文

社区生活的老年痴呆症患者接受非自愿治疗的普遍程度：系统回顾

方法我们对七个电子数据库（PubMed、Embase、Cochrane Library、Web of Science、CINAHL、PsycINFO 和 Scopus）进行了全面检索，检索时间从开始到 2023 年 10 月 17 日，并在 2024 年 4 月 1 日进行了更新。该研究共纳入 11 篇研究论文，涉及 19 个国家的 12,136 名居住在社区的认知障碍和痴呆症患者。在社区居住的痴呆症老年人中，非自愿治疗的总体流行率为 45.2%（95% CI：33.7%-60.5%）。子类别包括身体约束（9.8%，95% CI：5.1-18.8%）、精神药物治疗（19.1%，95% CI：13.6-26.9%）和非自愿护理（34.3%，27.6-42.7%）。影响非自愿治疗的因素分为与护理者相关的因素和与受护理者相关的因素。结论这项研究强调了在社区居住的老年痴呆症患者中普遍使用非自愿治疗的情况，并强调其与特定的护理者和受护理者因素有关。针对这些发现强调了采取积极措施和有针对性的干预措施以提高对这一弱势群体的护理质量的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.