关键词: Delirium & cognitive disorders Dementia MENTAL HEALTH

Mesh : Humans Aged Systematic Reviews as Topic Behavioral Symptoms Dementia / therapy psychology Randomized Controlled Trials as Topic Review Literature as Topic

来  源:   DOI:10.1136/bmjopen-2022-070317

Abstract:
There are various non-pharmacological interventions for dementia care. However, healthcare providers continue to face challenges in determining the most suitable interventions for the behavioural and psychological symptoms of dementia (BPSD), which vary according to individuals. This umbrella review aims to identify and summarise the effective non-pharmacological interventions for each sub-symptom to provide individualised, evidence-based recommendations for clinical practice.
This review follows the guideline of the Cochrane methodology for umbrella reviews. It focuses only on systematic reviews (SRs) with or without a meta-analysis of randomised controlled trials. Five electronic databases: PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycINFO and Cochrane Database, will be searched. The screened SRs will be determined for eligibility by the PICO formulation: (Population) older adults with dementia of any type; (Intervention) all types of non-pharmacological intervention; (Comparison) usual care or other non-pharmacological intervention; and (Outcome) BPSD and its sub-symptoms. The quality of the individual SRs will be appraised using A Measurement Tool to Assess Systematic Reviews 2. The overlap of primary studies will also be considered by eliminating an old-date SR conducted by the same authors with the same interest and calculating the Corrected Covered Area. Data will be extracted according to the pre-determined formula, which will organise non-pharmacological interventions according to the sub-symptoms of BPSD and not according to the type of intervention.
Since this is a review paper, ethical approval is not required. The findings of this review will be disseminated through publication in a peer-reviewed journal.
CRD42022340930.
摘要:
背景:有各种非药物干预措施用于痴呆护理。然而,医疗保健提供者在确定最适合痴呆症行为和心理症状(BPSD)的干预措施方面继续面临挑战,因个人而异。本综述旨在确定和总结每个亚症状的有效非药物干预措施,以提供个性化的,临床实践的循证建议。
方法:本综述遵循Cochrane总综述方法的指导原则。它只关注有或没有随机对照试验荟萃分析的系统评价(SRs)。五个电子数据库:PubMed,护理和相关健康文献的累积指数,Embase,PsycINFO和Cochrane数据库,将被搜索。筛选的SR将通过PICO制剂确定是否有资格:(人群)患有任何类型的痴呆症的老年人;(干预)所有类型的非药物干预;(比较)常规护理或其他非药物干预;(结果)BPSD及其亚症状。个人SR的质量将使用评估系统评价2的测量工具进行评估。还将通过消除由具有相同兴趣的同一作者进行的旧SR并计算校正的覆盖面积来考虑主要研究的重叠。将根据预先确定的公式提取数据,这将根据BPSD的亚症状而不是根据干预类型组织非药物干预。
背景:由于这是一篇综述论文,不需要道德批准。这项审查的结果将通过发表在同行评审的期刊上进行传播。
UNASSIGNED:CRD42022340930。
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