利益相关者对痴呆老年人使用身体约束态度的Meta整合  

Stakeholder attitudes towards the use of physical restraint in elderly people with dementia:a Meta-synthesis

作　　者：林晓鸿 彭晓 陈炜 LIN Xiaohong;PENG Xiao;CHEN Wei(School of Nursing,Guangzhou Xinhua University,Guangdong 510520 China)

机构地区：[1]广州新华学院护理学院,广东510520 [2]深圳职业技术学院 [3]上海健康医学院附属卫生学校

出　　处：《循证护理》2024年第18期3241-3249,共9页Chinese Evidence-Based Nursing

基　　金：广州新华学院2022年校级教学研究项目,编号:2022J034。

摘　　要：目的:系统评价利益相关者对痴呆老年人使用身体约束态度的质性研究。方法:检索PubMed、EMbase、the Cochrane Library、CINAHL、Web of Science、中国知网(CNKI)、万方数据库、维普数据库、中国生物医学文献数据库中利益相关者对痴呆老年人使用身体约束态度的质性研究,之后进行文献筛选、资料提取、质量评价和Meta整合。结果:共纳入10篇文献,提炼出73个主要研究结果,归纳出12个类别,并综合成4个整合结果:1)利益相关者对身体约束的认知;2)利益相关者感知到的身体约束实践现状;3)利益相关者对使用身体约束的态度和情感体验;4)利益相关者对减少身体约束的建议。结论:应重视居家、社区和养老机构痴呆老年人身体约束的使用现状及实施方式,细致考量身体约束最小化实践中的阻力、助力和渐进性,从组织层面提升人员配置,增加照顾者的培训和教育,减少身体约束的使用。Objective:To systematically evaluate the qualitative study of stakeholders′attitudes towards the use of physical restraints in elderly dementia patients.Methods:Qualitative studies on stakeholder attitudes towards the use of physical restraint in elderly people with dementia were retrieved from PubMed,EMbase,the Cochrane Library,CINAHL,Web of Science,CNKI,WanFang Database,VIP,and CBM.Then literature screening,data extraction,quality evaluation and Meta integration were carried out.Results:A total of 10 articles were included,and 73 main research findings were extracted,classified into 12 categories,and synthesized into 4 integrated results:1)stakeholder awareness of physical constraints;2)the current status of physical constraint practices perceived by stakeholders;3)stakeholders′attitudes and emotional experiences towards the use of physical restraints;4)stakeholder suggestions for reducing physical constraints.Conclusion:Attention should be paid to the current situation and implementation of physical restraint for elderly people with dementia at home,in community and in nursing institutions,and the resistance,support and progressive progress in the practice of physical restraint minimization should be carefully considered.Personnel allocation should be improved from the organizational level,training and education of caregivers should be increased,and the use of physical restraint should be reduced.

关 键 词：痴呆老年人 身体约束 利益相关者 质性研究 Meta整合 

分 类 号：R473.74[医药卫生—护理学]