关键词: Alzheimer's disease cognitive impairment dementia family experiences hospital design patient experiences scoping review single room

Mesh : Humans Dementia / nursing Aged Family / psychology Patients' Rooms Hospital Design and Construction Hospitalization Patient Admission

来  源:   DOI:10.1111/opn.12626

Abstract:
BACKGROUND: When older persons with dementia are admitted to hospital, they often feel disoriented and confused and their cognitive impairment may worsen, purely due to the sudden change in their environment. As such hospital design is recognised as an important aspect in the care and well-being of older persons with dementia. As the number of persons with dementia is increasing, the experience of admission to a hospital with, for example, single rooms is more relevant than ever.
OBJECTIVE: This scoping review aimed to identify, explore and conceptually map the literature reporting on what older people with dementia and their families experienced during admission to a hospital with single room accommodation. We followed the Joanna Briggs Institute recommendations for undertaking a scoping review. In addition, we used the Preferred Reporting Items for Systematic reviews (PRISMA-ScR) Checklist, which assisted the development and reporting of this scoping review.
RESULTS: We included 10 sources within a time frame of 23 years (1998-2021). The sources originate from Europe, Australia and Canada. We identified three conceptual maps: Safety and security, Privacy and dignity and Sensorial stimulation. Our review demonstrates that the themes of the three conceptual maps are experienced as mutually interdependent for the older persons with dementia and their families.
CONCLUSIONS: We conclude that it is not merely the single room design that determines what the older persons with dementia and their families experience as important; the exposure to sensorial stimulation and the presence of well-trained staff taking a dignified patient-centred approach are also crucial for their experience of high-quality nursing care.
摘要:
背景:当老年痴呆症患者入院时,他们经常感到迷失方向和困惑,他们的认知障碍可能会恶化,纯粹是由于环境的突然变化。因此,医院设计被认为是痴呆症老年人护理和福祉的重要方面。随着痴呆症患者数量的增加,入院的经验,例如,单人间比以往任何时候都更重要。
目的:本范围审查旨在确定,探索并从概念上绘制文献,报道老年痴呆症患者及其家人在入住单间住宿医院期间的经历。我们遵循JoannaBriggs研究所的建议进行范围审查。此外,我们使用系统评价的首选报告项目(PRISMA-ScR)清单,这有助于制定和报告这一范围审查。
结果:我们在23年(1998-2021年)的时间框架内包括了10个来源。来源来自欧洲,澳大利亚和加拿大。我们确定了三个概念图:安全和安保,隐私和尊严和感官刺激。我们的审查表明,这三个概念图的主题对于患有痴呆症的老年人及其家庭来说是相互依存的。
结论:我们得出的结论是,不仅单间设计决定了老年痴呆症患者及其家人的经历是重要的;暴露于感官刺激和训练有素的工作人员的存在,采取有尊严的以患者为中心的方法,对于他们的优质护理体验也至关重要。
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