目的:从居民的角度综合了解居住在老年护理中的文化和语言背景不同的老年痴呆症患者的需求,家庭和护理人员。
背景:居住在老年护理中的文化和语言背景不同的痴呆症老年人具有复杂的护理需求。确定这些需求对于确保提供高质量的护理至关重要。
方法:综合文献综述。
方法:搜索了五个数据库中的相关文章:APAPsychINFO,CINAHL,MEDLINE,Scopus和谷歌学者。搜索和筛选以PRISMA指南以及Whittemore和Knafl的五步框架为指导。
结果:这篇综述包括15篇论文,包括4篇定量论文,9项定性研究和2项混合方法研究。两个主题描述了居住在老年护理中的文化和语言背景不同的痴呆症老年人的需求。第一个与特定文化的需求有关,第二个与痴呆症特定的护理需求有关。特定文化的需求包括三个子主题:(a)共同语言,(b)传统食物,和(c)社会和精神要求。痴呆症的特定需求包括(a)除临床要求外还注重舒适度,以及(b)解决痴呆症行为症状的个性化护理。
结论:识别和满足不同文化和语言背景的痴呆症患者的需求,除了提高居民的护理满意度外,还可以改善优质护理服务。家庭和护理人员,以及对痴呆症特征行为的管理。
结论:居住环境中文化和语言背景不同的痴呆症老年人的护理需求可能很复杂。必须考虑对包括护士在内的护理人员进行教育和培训,以使护理的提供包括老年护理中老年人的文化和痴呆症需求。
OBJECTIVE: To synthesise information about the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care from the perspectives of the residents, families and care staff.
BACKGROUND: Older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care have care needs that are complex. Identifying these needs is critical to ensure quality care is delivered.
METHODS: An integrative
review of literature.
METHODS: Five databases were searched for relevant articles: APA PsychINFO, CINAHL, MEDLINE, Scopus and Google Scholar. The search and screening were guided by PRISMA guidelines and Whittemore and Knafl\'s five-step framework.
RESULTS: Fifteen papers were included in this
review consisting of 4 quantitative, 9 qualitative and 2 mixed method studies. Two themes described the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care. The first was related to culture-specific needs, and the second was related to dementia-specific care needs. Culture-specific needs comprised of three subthemes: (a) common language, (b) traditional food, and (c) social and spiritual requirements. Dementia-specific needs comprised of (a) focusing on comfort in addition to clinical requirements and (b) individualised care that addresses behavioural symptoms of dementia.
CONCLUSIONS: Identifying and meeting the needs of older people with dementia from culturally and linguistically diverse backgrounds will improve quality care delivery in addition to increased caregiving satisfaction among residents, families and care staff, and the management of behaviours that characterise dementia.
CONCLUSIONS: Care needs of older people with dementia from culturally and linguistically diverse backgrounds living in the residential setting can be complex. Education and training of care staff including nurses must be considered so that provision of care is inclusive of the cultural and dementia needs for older people in residential aged care.