目的探讨社区老年脑卒中患者的护理依赖现状并分析其主要影响因素,为临床采取有效干预措施降低患者依赖水平,减轻照顾负担提供依据。方法采用便利抽样法,选取2020年9月至2021年12月在广州市某三级甲等综合医院神经科门诊、康复治疗部及...目的探讨社区老年脑卒中患者的护理依赖现状并分析其主要影响因素,为临床采取有效干预措施降低患者依赖水平,减轻照顾负担提供依据。方法采用便利抽样法,选取2020年9月至2021年12月在广州市某三级甲等综合医院神经科门诊、康复治疗部及某社区康复中心就诊的老年脑卒中患者210例,以ICF理论模式为框架,采用一般资料调查表、护理依赖量表(care dedendency scale,CDS)、简版老年抑郁量表(short form geriatric depression scale,GDS-15)、社会支持评定量表(social support rating scale,SSRS)进行调查分析。结果200例患者完成研究。患者护理依赖总分为(53.3±12.1)分,依赖发生率为80.0%。多重线性回归分析结果显示,年龄、身体锻炼、肢体活动障碍、吞咽障碍、语言障碍、抑郁、社会支持是护理依赖的影响因素(均P<0.05),共解释护理依赖总变异的62.5%。结论社区老年脑卒中患者护理依赖发生率高,护理人员应重点关注高龄,肢体活动、吞咽、语言障碍,抑郁,社会支持水平更低的患者,采取针对性干预措施,降低患者的依赖水平,提高其生存质量。展开更多
This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese...This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese Biomedical Literature Database.The database is open to December 20,2023,and documents related to the fear of dementia among the elderly in the community are described and analyzed to provide a reference for future research in this field.At the same time,we screened,extracted,and summarized relevant information from 21 included documents(16 in English and 5 in Chinese),which consisted of 16 cross-sectional studies,2 quasi-experimental studies,2 randomized controlled studies,and 1 longitudinal study.Sixteen of the included documents mentioned the incidence or level of dementia fear among the elderly in the community,2 addressed the adverse effects of dementia fear,and 4 reported prevention and intervention measures for dementia fear.In total,there are 8 assessment tools,and the influencing factors are categorized into sociodemographic characteristics,psychological and behavioral characteristics,sociocultural background factors,and health and dementia-related factors.The final conclusion is that the fear of dementia is common among the elderly in the community.In the future,the application of research tools should be expanded among middle-aged individuals,with considerations for other types of dementia in mind.It is recommended to conduct large-scale,multi-center randomized controlled trials while confirming the intervention’s effect on different types of middle-aged and elderly individuals,focusing on the long-term impact of these intervention measures to promote healthy aging.展开更多
文摘目的探讨社区老年脑卒中患者的护理依赖现状并分析其主要影响因素,为临床采取有效干预措施降低患者依赖水平,减轻照顾负担提供依据。方法采用便利抽样法,选取2020年9月至2021年12月在广州市某三级甲等综合医院神经科门诊、康复治疗部及某社区康复中心就诊的老年脑卒中患者210例,以ICF理论模式为框架,采用一般资料调查表、护理依赖量表(care dedendency scale,CDS)、简版老年抑郁量表(short form geriatric depression scale,GDS-15)、社会支持评定量表(social support rating scale,SSRS)进行调查分析。结果200例患者完成研究。患者护理依赖总分为(53.3±12.1)分,依赖发生率为80.0%。多重线性回归分析结果显示,年龄、身体锻炼、肢体活动障碍、吞咽障碍、语言障碍、抑郁、社会支持是护理依赖的影响因素(均P<0.05),共解释护理依赖总变异的62.5%。结论社区老年脑卒中患者护理依赖发生率高,护理人员应重点关注高龄,肢体活动、吞咽、语言障碍,抑郁,社会支持水平更低的患者,采取针对性干预措施,降低患者的依赖水平,提高其生存质量。
文摘This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese Biomedical Literature Database.The database is open to December 20,2023,and documents related to the fear of dementia among the elderly in the community are described and analyzed to provide a reference for future research in this field.At the same time,we screened,extracted,and summarized relevant information from 21 included documents(16 in English and 5 in Chinese),which consisted of 16 cross-sectional studies,2 quasi-experimental studies,2 randomized controlled studies,and 1 longitudinal study.Sixteen of the included documents mentioned the incidence or level of dementia fear among the elderly in the community,2 addressed the adverse effects of dementia fear,and 4 reported prevention and intervention measures for dementia fear.In total,there are 8 assessment tools,and the influencing factors are categorized into sociodemographic characteristics,psychological and behavioral characteristics,sociocultural background factors,and health and dementia-related factors.The final conclusion is that the fear of dementia is common among the elderly in the community.In the future,the application of research tools should be expanded among middle-aged individuals,with considerations for other types of dementia in mind.It is recommended to conduct large-scale,multi-center randomized controlled trials while confirming the intervention’s effect on different types of middle-aged and elderly individuals,focusing on the long-term impact of these intervention measures to promote healthy aging.
