目的探讨痴呆症护理领域的知识基础、研究前沿与发展趋势。方法以Web of Science数据库收录近10年来的痴呆症护理领域研究文献为研究对象,应用可视化分析软件CiteSpace,进行关键词共词分析和文献共被引分析,了解该领域知识基础和研究前...目的探讨痴呆症护理领域的知识基础、研究前沿与发展趋势。方法以Web of Science数据库收录近10年来的痴呆症护理领域研究文献为研究对象,应用可视化分析软件CiteSpace,进行关键词共词分析和文献共被引分析,了解该领域知识基础和研究前沿主题,探索该领域研究的发展脉络。结果频次最高前10位的关键词包括“dementia(痴呆)”、“older people(老年人)”、“care(照护)”、“quality of life(生活质量)”、“alzheimers disease(阿尔茨海默病)”、“people(people with dementia,痴呆患者)”、“intervention(干预)”、“depression(抑郁)”、“health(健康)”、“nursing(护理)”;突现强度前10位的关键词为“skill(技能)”、“intensive care unit(重症监护室)”、“distress(痛苦)”、“sleep(睡眠)”、“fall(跌倒)”、“mini mental state(简易精神状态量表)”、“nursing student(护生)”、“self-care(自我护理)”、“end(end of life,生命终末期)”、“burnout(倦怠)”;文献共被引分析主要聚类包括“#0acute care(急诊护理)”、“#1delirium(谵妄)”、“#2informal caregiver(非正式照顾者)”、“#3heart failure(心力衰竭)”、“#4assessment(评估)”。结论该领域研究正处于快速发展而不断创新探索第三阶段,研究重点在早期主要关注痴呆症患者的心理健康、生活质量、风险因素、照顾者负担、体验和认知、教育培训等方面,逐渐过渡到痴呆症患者长期照护模式、以人为中心的照护模式,急诊痴呆患者干预、心力衰竭患者认知障碍干预以及晚期痴呆症患者的姑息照护等重要的研究方向,可以为我国该领域的研究提供借鉴。展开更多
目的通过检索、总结,系统评价智慧化养老背景下失能老人居家接受远程照护的最佳证据,为有效实施医养结合远程智慧化照护提供参考。方法计算机检索Up To Date(中文版)、BMJ Best Practice、JBI Evidence Summary、苏格兰学院间指南网、...目的通过检索、总结,系统评价智慧化养老背景下失能老人居家接受远程照护的最佳证据,为有效实施医养结合远程智慧化照护提供参考。方法计算机检索Up To Date(中文版)、BMJ Best Practice、JBI Evidence Summary、苏格兰学院间指南网、美国远程医疗协会、Cochrane Library、Ovid、PubMed、Elsevier Science Direct、中国生物医学文献数据库、CNKI、万方数据知识服务平台等关于失能老人远程智慧化照护的相关证据,包括指南、专家共识、证据总结、系统评价、原始研究等。检索时限为建库至2022年4月30日。由两名研究员对文献质量进行独立评价,并结合专业判断,提取符合标准的文献。结果共纳入文献14篇,其中指南3篇,系统评价9篇,随机对照试验2篇,提取了6个方面共37条证据。结论失能老人智慧化养老远程照护须基于评估开展,由多专业照护团队借助远程医疗设备从营养、药物、活动等多方面提供专业照护,提倡全程、连续照护,以确保失能老人居家期间照护服务质量。展开更多
Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicator...Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.展开更多
文摘目的探讨痴呆症护理领域的知识基础、研究前沿与发展趋势。方法以Web of Science数据库收录近10年来的痴呆症护理领域研究文献为研究对象,应用可视化分析软件CiteSpace,进行关键词共词分析和文献共被引分析,了解该领域知识基础和研究前沿主题,探索该领域研究的发展脉络。结果频次最高前10位的关键词包括“dementia(痴呆)”、“older people(老年人)”、“care(照护)”、“quality of life(生活质量)”、“alzheimers disease(阿尔茨海默病)”、“people(people with dementia,痴呆患者)”、“intervention(干预)”、“depression(抑郁)”、“health(健康)”、“nursing(护理)”;突现强度前10位的关键词为“skill(技能)”、“intensive care unit(重症监护室)”、“distress(痛苦)”、“sleep(睡眠)”、“fall(跌倒)”、“mini mental state(简易精神状态量表)”、“nursing student(护生)”、“self-care(自我护理)”、“end(end of life,生命终末期)”、“burnout(倦怠)”;文献共被引分析主要聚类包括“#0acute care(急诊护理)”、“#1delirium(谵妄)”、“#2informal caregiver(非正式照顾者)”、“#3heart failure(心力衰竭)”、“#4assessment(评估)”。结论该领域研究正处于快速发展而不断创新探索第三阶段,研究重点在早期主要关注痴呆症患者的心理健康、生活质量、风险因素、照顾者负担、体验和认知、教育培训等方面,逐渐过渡到痴呆症患者长期照护模式、以人为中心的照护模式,急诊痴呆患者干预、心力衰竭患者认知障碍干预以及晚期痴呆症患者的姑息照护等重要的研究方向,可以为我国该领域的研究提供借鉴。
文摘目的通过检索、总结,系统评价智慧化养老背景下失能老人居家接受远程照护的最佳证据,为有效实施医养结合远程智慧化照护提供参考。方法计算机检索Up To Date(中文版)、BMJ Best Practice、JBI Evidence Summary、苏格兰学院间指南网、美国远程医疗协会、Cochrane Library、Ovid、PubMed、Elsevier Science Direct、中国生物医学文献数据库、CNKI、万方数据知识服务平台等关于失能老人远程智慧化照护的相关证据,包括指南、专家共识、证据总结、系统评价、原始研究等。检索时限为建库至2022年4月30日。由两名研究员对文献质量进行独立评价,并结合专业判断,提取符合标准的文献。结果共纳入文献14篇,其中指南3篇,系统评价9篇,随机对照试验2篇,提取了6个方面共37条证据。结论失能老人智慧化养老远程照护须基于评估开展,由多专业照护团队借助远程医疗设备从营养、药物、活动等多方面提供专业照护,提倡全程、连续照护,以确保失能老人居家期间照护服务质量。
基金This study was funded by the National Natural Science Foundation of China (Grant No. 72074164)Chinese Academy of Medical Sciences(Grant No. 2020-JKCS-024).
文摘Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.
