痴呆患者卫生清洁护理相关指南的系统评价
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摘要
目的评价照护者对痴呆患者卫生清洁护理相关的循证指南,为痴呆患者进行卫生清洁护理提供参考。方法计算机检索文献数据库和国内外指南网站、医学会网站,搜集照护者对痴呆患者进行卫生清洁相关循证指南,采用临床研究评估工具(AGREEⅡ)对纳入的文献进行质量评价,汇总各指南的推荐意见。结果纳入5篇相关指南,均来自国外,文献质量均为B级。各指南主要推荐的卫生清洁护理措施包括口腔护理、沐浴及如厕卫生清洁护理,涉及护理措施、照护者培训与要求、护理政策及计划。结论纳入的痴呆患者卫生清洁护理的指南还需不同程度修改完善,特别是其严谨性、应用性、独立性;应尽快开发适用于我国痴呆患者卫生清洁护理的相关指南,供国内患者、照护者及临床护士参考。
引文
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[22] 潘习,白姣姣.音乐疗法在痴呆患者激越行为护理中的应用进展[J].护理学杂志,2013,28(19):92-94.
[23] 王泠,郑小伟,马蕊,等.国内外失禁相关性皮炎护理实践专家共识解读[J].中国护理管理,2018,18(1):3-6.
[24] 李智慧,韩嘉琪,相玮,等.痴呆照护筹划在老年痴呆照护中的应用进展[J].护理学杂志,2018,33(1):104-106.
[25] 中华人民共和国国家卫生部.中国居民口腔健康指南[J].中华老年口腔医学杂志,2013,18(3):4-10.
[2] 隋宾艳,齐雪然.英国NICE卫生技术评估研究决策转化机制及对我国的启示[J].中国卫生政策研究,2015,8(7):74-78.
[3] Instiute of Medicine(IOM).Clinical practice guidelines we can trust[S].Washington DC:The National Academies Press,2011:1-17.
[4] 胡雁.用循证护理的观念评估“临床实践指南”[J].护士进修杂志,2005,20(4):309-311.
[5] Brouwers M C,Kho M E,Browman G P,et al.AGREEⅡ:advancing guideline development,reporting,and evaluation in health care[J].Can Med Assoc,2010,182(18):E839-842.
[6] Burls A.AGREEⅡ-improving the quality of clinical care[J].Lancet,2010,376(9747):1128-1129.
[7] 武杰,王轶,王志稳.痴呆老人精神行为问题非药物管理指南的系统评价[J].中国循证医学杂志,2016,16(11):1338-1344.
[8] Ministry of Health Malaysia (MOH).Clinical practice guidelines:management of dementia[EB/OL].(2009-11-01)[2017-10-17].http://www.moh.gov.my/attachments/4484.pdf.
[9] Registered Nurses Association of Ontario(RNAO).Delirium,dementia,and depression in older adults:assessment and care[EB/OL].(2016-07-01)[2017-10-18].http://www.rnao.ca/bpg.
[10] Fletcher K.Recognition and Management of Dementia[M]//Boltz M,Capezuti E,Fulmer T,et al.Evidence-based geriatric nursing protocols for best practice.4th ed.NewYork (NY):Springer Publishing Company,2012:163-185.
[11] Hall G R,Gallagher M,Hoffmann-Snyder C.Bathing persons with dementia[M]//John A.Hartford Foundation Center of Geriatric Nursing Excellence.Iowa City (IA):University of Iowa College of Nursing,2013:58.
[12] National Institute for Health and Clinical Excellence(NICE).Oral health for adults in care home[EB/OL].(2016-07-05)[2017-05-18].https://www.nice.org.uk/guidance/ng48.
[13] Gagliardi A R,Brouwers M C.Do guidelines offer implementation advice to target users?A systematic review of guideline applicability[J].BMJ Open,2015,18(5):e007047.
[14] Detsky A S.Sources of bias for authors of clinical practice guidelines[J].CMAJ,2006,175(9):1033-1035.
[15] Neuman J,Korenstein D,Ross J S,et al.Prevalence of financial conflicts of interest among panel members producing clinical practice guidelines in Canada and United States:cross sectional study[J].BMJ,2011,343:d5621.
[16] Norris S L,Holmer H K,Ogden L A,et al.Conflict of interest in clinical practice guideline development:a systematic review[J].PLoS One,2011,6(11):e25153.
[17] 吴小英.老年痴呆患者口腔健康状况调查[J].护士进修杂志,2017,32(20):1871-1872.
[18] 彭杰,张敏,张璇,等.正常唾液及氟化物对脱矿年轻恒牙牙釉质的再矿化作用[J].临床口腔医学杂志,2013,29(8):471-473.
[19] Pearson A,Chalmers J.Oral hygiene care for adults with dementia in residential aged care facilities[J].JBI Libr Syst Rev,2004,2(3):1-89.
[20] D′Hondt A,Kaasalainen S,Prentice D,et al.Bathing residents with dementia in long-term care:critical incidents described by personal support workers[J].Int J Older People Nurs,2012,7(4):253-263.
[21] Konno R,Kang H S,Makimoto K.The best evidence for minimizing resistance-to-care during assisted perso-nal care for older adults with dementia in nursing homes:a systematic review[J].JBI Libr Syst Rev,2012,10(58):4622-4632.
[22] 潘习,白姣姣.音乐疗法在痴呆患者激越行为护理中的应用进展[J].护理学杂志,2013,28(19):92-94.
[23] 王泠,郑小伟,马蕊,等.国内外失禁相关性皮炎护理实践专家共识解读[J].中国护理管理,2018,18(1):3-6.
[24] 李智慧,韩嘉琪,相玮,等.痴呆照护筹划在老年痴呆照护中的应用进展[J].护理学杂志,2018,33(1):104-106.
[25] 中华人民共和国国家卫生部.中国居民口腔健康指南[J].中华老年口腔医学杂志,2013,18(3):4-10.