Wenxuan Zhao, Jie Song, Haiwen Chen, Nan Zhang, Jinfang Wang, Xiao Cong
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引用次数: 0
摘要
目的:综述需求驱动痴呆妥协行为(NDB)模型及其在痴呆护理中的应用。方法:该范围评价遵循系统评价和元分析-范围评价指南的首选报告项目。检索了1996年11月至2024年12月期间Embase、PubMed、Web of Science、Cochrane Library、Scopus等电子数据库,以及CNKI、万方、VIP、SinoMed等中文数据库。结果:共纳入22项研究。11项研究探讨了影响痴呆(BPSD)行为和心理症状的因素,10项研究侧重于护理干预以满足痴呆患者的护理需求,只有1项研究开发了评估BPSD触发因素的评估工具。结论:识别和评估痴呆患者的背景和近端因素可以帮助护士和家庭护理人员早期识别有BPSD风险的患者。基于NDB模型的评估工具用于评估可能的BPSD触发因素。基于NDB模型的护理干预对痴呆患者的BPSD和情绪有积极影响。这些干预措施可以根据特定环境中患者的背景或目标近端因素进行调整。临床意义:使用NDB模型,护理人员可以识别痴呆患者BPSD的诱因,并实施个性化的干预措施。
Application of the Need-Driven Dementia-Compromised Behavior Model in Dementia Care: A Scoping Review.
Objectives: To review the need-driven dementia-compromised behavior (NDB) model and its application in dementia care.
Methods: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Review guidelines. We searched electronic databases including Embase, PubMed, Web of Science, Cochrane Library, Scopus, and the Chinese databases CNKI, Wanfang, VIP, and SinoMed from November 1996 to December 2024.
Results: Overall, 22 studies were included. Eleven studies explored the factors influencing behavioral and psychological symptoms of dementia (BPSD), 10 focused on nursing interventions to meet patients' needs in dementia care, and only 1 developed an assessment tool to evaluate trigger factors of BPSD.
Conclusions: Identifying and assessing the background and proximal factors of patients with dementia can assist nurses and family caregivers in the early identification of patients at risk of BPSD. The NDB model-based assessment tool is used to assess possible BPSD triggers. Nursing interventions based on the NDB model positively affect BPSD and mood in people with dementia. These interventions can be tailored based on the background or target proximal factors of patients in specific settings.
Clinical implications: Using the NDB model, caregivers can identify triggers of BPSD in patients with dementia and implement personalized intervention measures.
期刊介绍:
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.