痴呆患者正式和非正式照护服务的供应特征与互补关系的系统综述  

Systematic Review of Supply Characteristics and Complementarity of Formal and Informal Care Services for Patients with Dementia

作　　者：张蜜 刘惠颖 ZHANG Mi(School of Public Administration,Central South University,Changsha,Hunan,410000,China)

机构地区：[1]中南大学公共管理学院,湖南长沙410000

出　　处：《医学与社会》2025年第4期29-36,59,共9页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为72274222、72004236。

摘　　要：目的:系统评价有关痴呆患者正式和非正式照护服务的供应特征与互补关系的现有证据,为我国开展相关研究提供参考。方法:检索Medline、PubMed、Embase、CINAHL、Scopus、PsycINFO和Sociological Abstracts,筛选在2000年1月-2023年12月期间公开发表的研究痴呆患者正式和非正式照护服务的供应特征与互补关系的文献,进行系统综述。结果:共纳入65篇文献,现有研究主要从时间投入(15篇)、经济成本(15篇)、护理类型(26篇)以及照护环境转换(15篇)等方面考察痴呆患者不同疾病阶段下正式和非正式照护服务的供应特征。在痴呆的整个病程中,非正式照护服务占重要地位。随着病程发展,正式照护服务的使用率也在增加。在痴呆轻度阶段,正式照护服务对于非正式照护服务的补充作用有所显现。从痴呆中度阶段开始,正式和非正式照护服务之间的互补关系逐渐增强。结论:在痴呆患者不同疾病阶段,正式和非正式照护服务的供应特征呈现出显著差异,且正式和非正式照护服务之间的互补关系始终存在。未来应从动态角度进一步探讨能够促进正式和非正式照护服务合作模式发展的核心干预要素。Objective:To systematically evaluate the available evidence on the changes in formal and informal care supply characteristics and complementarity for patients with dementia,so as to provide references for enlightening further research in China.Methods:Medline,PubMed,Embase,CINAHL,Scopus,PsycINFO and Sociological Abstracts were searched to screen for publicly available articles that examined the changes in formal and informal care supply characteristics and complementarity for patients with dementia between January 2000 and December 2023 for a systematic review.Results:A total of 65 studies were included.The existing studies mainly examined the changes in formal-informal care provision for patients with dementia from the following aspects:time investment(n=15),monetary cost(n=15),care types(n=26)and transition of care settings(n=15).Informal care dominated the entire course of dementia,while the utilization of formal services also increased as the disease worsened.In the early stages of dementia,the complementarity role between formal and informal care services was pronounced.As the disease progressed,the complementarity between formal and informal care services gradually increased.Conclusion:There are significant differences in the supply characteristics of formal and informal care services at different stages of dementia,and the complementarities between formal and informal care services persist.Further research taking a dynamic perspective to investigate factors contributing to effective formal-informal care services collaboration over the entire course of dementia care is warranted.

关 键 词：照护服务 痴呆 患者 正式照护 非正式照护 

分 类 号：R-05[医药卫生] R195.4