文献类型：期刊文献

中文题名：痴呆病人激越及攻击行为识别与非药物干预的最佳证据总结

英文题名：Summary of the best evidence of agitation and aggressive behavior recognition and non-pharmacological intervention in patients with dementia

作者：车莹[1];宋旭林[1];赵海蓉[1];战青[1];张乐乐[1];张承祖[1];王波[1]

第一作者：车莹

机构：[1]甘肃中医药大学护理学院,甘肃730000

第一机构：甘肃中医药大学护理学院

年份：2023

卷号：9

期号：3

起止页码：407

中文期刊名：循证护理

外文期刊名：Chinese Evidence-Based Nursing

语种：中文

中文关键词：老年痴呆;激越;非药物管理;证据总结;循证护理

外文关键词：dementia;agitation;non-pharmacological intervention;summary of evidence;evidence-based nursing

摘要：目的:检索、遴选分析痴呆病人激越及攻击行为的相关证据,呈现其非药物管理的研究现状、文献质量,最终形成最佳证据。方法:基于Joanna Briggs Institute(JBI)构建的PIPOST模式确定研究问题,结合证据资源的“6S”金字塔模型依次检索2012年1月—2022年1月发布在加拿大安大略注册护士协会(RNAO)、英国国家卫生与临床优化研究所(NICE)、中国医脉通、PubMed、EMbase、Web of Science、the Cochran Library、BMJ Best Practice、CINAHL、中国知网、中国生物医学文献数据库、万方数据库、维普数据库的相关文献。结果:共纳入文献18篇,其中指南5篇,系统评价4篇,专家共识2篇,随机对照试验7篇,从纳入的文献中综合出25条最佳证据,共4个维度,分别是痴呆病人激越及攻击行为的评估识别、非药物干预措施、控制诱因、培训与教育。结论:对于痴呆病人激越和攻击行为,目前提倡以非药物干预为主,医务人员应使用合适的工具评估病人症状,并推荐采用具有针对性的非药物干预措施。另外,还应对医护人员、家属进行预防管理激越及攻击行为相关知识培训。
Objective:To retrieval,select and analyze the relevant evidence of agitation and aggressive behavior of dementia patients,present the research status and literature quality of non-pharmacological intervention,and finally summarize the best evidence.Methods:Determined the research problems based on the PIPOST model constructed by JBI,and conducted literature retrieval in turn in combination with the"6S"pyramid model of evidence resources.The relevant articles published in RNAO,NICE,Yimaitong,PubMed,EMbase,Web of Science,the Cochran Library,BMJ Best Practice,CINAHL,CNKI,CBM,WanFang Databases and VIP from January 2012 to January 2022 were retrieved.Results:A total of 18 articles were included:5 guidelines,4 systematic reviews,2 expert consensus and 7 randomized controlled trials.25 pieces of best evidence were synthesized from the included articles,including 4 dimensions:the identification and evaluation of agitation and aggressive behavior of dementia patients non-pharmacological intervention,incentives,and training and education.Conclusion:For the agitation and aggression of dementia patients,non-pharmacological intervention is advocated.Medical staff should use appropriate tools to evaluate patients′symptoms,and recommend specific non-pharmacological intervention measures.In addition,Medical staff and their families should also receive training on the knowledge of prevention and management of agitation and aggression.