长期护理机构中痴呆症患者的社会交通服务：范围审查。

IF 3.8 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2025-07-17 DOI:10.1016/j.jamda.2025.105745

Soojeong Han PhD, AGNP, RN, Simon P. Navarro MA, RN, CCRN, TCRN, Gregory L. Alexander PhD, RN, FAAN, FACMI, FIASI

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引用次数: 0

摘要

目的：大量成年痴呆患者需要长期护理服务。例如，大约75万住在养老院的人被诊断患有痴呆症。在长期护理中，长期护理人口的交通不安全问题没有得到足够的重视。本综述旨在探讨长期护理机构痴呆症患者非紧急医疗运输的文献，并确定这一弱势群体面临的交通挑战相关的研究空白。设计：范围审查。背景和参与者：本综述包括发表在同行评议期刊上的关于痴呆症长期护理机构居民交通服务的研究。方法：采用Arksey和O'Malley框架和PRISMA-ScR检查表。在PubMed、CINAHL、PsycINFO、Scopus和Embase等5个数据库中进行检索。题目、摘要和全文均由2位审稿人独立审阅，所有差异均通过一致讨论解决。结果：在筛选的1405篇文献中，有5篇研究符合本综述的分析和综合纳入标准。护理人员、卫生保健专业人员和痴呆症患者表示需要适当的交通服务。报告披露了痴呆症特有的挑战以及与健康的社会决定因素有关的其他交通不安全问题，如财政和城乡情况。令人惊讶的是，没有研究将交通不安全作为长期护理机构中痴呆症患者的主要关注点，这代表了重大的文献空白。结论和意义：本综述的发现解决了与长期护理机构痴呆症患者面临的交通挑战相关的关键文献空白，并为指导和开发长期护理患者，特别是痴呆症患者的交通服务系统以及潜在的干预措施提供了证据。需要进一步探索和实验，建立具有老年痴呆症友好特征的长期护理设施，提高老年痴呆症患者的可达性和生活质量。

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Transportation Services in Society for Individuals Living With Dementia in Long-Term Care Facilities: A Scoping Review

Objectives

Significant numbers of adults with dementia require long-term care services. For example, around 750,000 people who live in nursing homes have a diagnosis of dementia. Transportation insecurity for the long-term care facility population has not received sufficient attention. This scoping review aims to explore the literature on nonemergency medical transportation for long-term care facility residents with dementia and identify research gaps related to transportation challenges faced by this vulnerable population.

Design

A scoping review.

Setting and Participants

This review included research studies published in peer-reviewed journals regarding transportation services for long-term care facility residents with dementia.

Methods

Arksey and O'Malley's framework and PRISMA-ScR checklist were followed. The search was performed in 5 databases, including PubMed, CINAHL, PsycINFO, Scopus, and Embase. Titles, abstracts, and full-text articles were independently reviewed by 2 reviewers, and all discrepancies were resolved by a consensus discussion.

Results

Of the 1405 publications screened, 5 studies met the inclusion criteria for analysis and synthesis for this review. The need for adequate transportation services was expressed by caregivers, health care professionals, and individuals with dementia. Dementia-specific challenges and other transportation insecurity issues related to social determinants of health, such as finance and rural and urban contexts, were disclosed. Surprisingly, no studies explored transportation insecurity as a primary focus for individuals with dementia in long-term care facilities, representing a significant literature gap.

Conclusions and Implications

The findings of this review address critical literature gaps related to transportation challenges faced by long-term care facility residents with dementia and provide evidence to guide and develop transportation service systems as well as potential interventions for long-term care residents, especially those with dementia. Further explorations and experiments are needed to establish long-term care facilities with dementia-friendly features, which enhance accessibility and quality of life for these residents.

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality