居家式喘息服务对失智患者非正式照护者支持的证据总结

Evidence summary for respite care support for informal caregivers of dementia patients at home

目的:检索、评价并整合国内外针对失智患者非正式照护者喘息服务的相关证据,为国内喘息服务开展提供依据。方法:按照“6S”证据模型由上至下依次检索相关数据库及网站中与失智患者非正式照护者居家喘息服务支持相关的文献,检索时限为建库至2024年3月31日。由经过循证护理培训的研究员完成纳入文献的质量评价,并完成证据的提取与汇总。结果:共纳入14篇文献,包括5篇指南、3篇临床决策、4篇系统评价、2篇专家共识。最终围绕服务原则、照护者评估、服务目标、介入时机、服务人员素质、照护措施、心理干预、服务保障共8个方面,总结提出45条证据。结论:该研究总结了居家式喘息服务对失智患者非正式照护者支持的相关证据,建议相关行业工作者在结合实际的前提下采纳相关证据,提高喘息服务科学性。

Objective:To retrieve,evaluate,and integrate the relevant evidence from informal caregivers for dementia patients on respite care.Methods:A comprehensive search of relevant databases and websites related to respite support for informal caregivers of people with dementia was conducted according to the"6S"evidence retrieval model.The retrieval time limit was from the database inception to March 31,2024.Two researchers completed the quality assessment of the included articles and completed the extraction and summarization of evidence.Results:A total of 14 articles were involved,including 5 guidelines,3 clinical decisions,4 systematic reviews,and 2 expert consensuses.Finally,45 pieces of evidence were summarized and presented in 8 aspects:service principles,caregiver evaluation,service objectives,intervention timing,service personnel quality,care measures,psychological intervention,and service guarantee.Conclusion:This study summarizes the evidence related to the support of respite care for informal caregivers of people with dementia.It is suggested that relevant industry practitioners should adopt the evidence in a contextualized way to improve the scientificity of respite care.