Abstract:

Objective To identify the core components and application status of internet-based interventions for family care of older people with dementia,so as to provide guidance for future research.Methods This scoping review was conducted under the Joanna Briggs Institute guidelines. A literature search was performed in the PubMed,Embase,CINAHL,Web of Science,PsycINFO,Cochrane Library,CNKI,Wanfang,and CBM databases to identify relevant studies. The included studies were summarized and analyzed.Results A total of 31 articles were included. The core components of internet-based interventions included the provision of information and care skills guidance,peer support,contact with professionals,decision-making support,psychological support,and self-care guidance. The outcome types were mainly the effect evaluation and feasibility evaluation of interventions.Conclusion Internet-based interventions have positive effects on family caregivers of dementia patients,and the personalized internet-based interventions combined with multiple components are more favored by family caregivers. Future research should combine the hierarchical medical system and artificial intelligence decision-making technology,explore the strategy of realizing personalized support in the context of “Internet + nursing service”.

Key words: Dementia, Family Caregivers, Internet-Based Interventions, Community Health Nursing, Scoping Review

摘要：

目的 对网络干预在痴呆老年人居家照护中应用的研究进行范围审查,以识别网络干预的要素及应用现状,为未来该领域的研究提供指导。方法 以乔安娜布里格斯研究所范围综述指南为方法学框架,检索PubMed、Embase、CINAHL、Web of Science、PsycINFO、Cochrane Library、中国知网、万方和中国生物医学文献数据库中相关研究。检索时限为建库至2020年3月31日。对纳入文献进行汇总和分析。结果 纳入31篇文献,网络干预的要素涵盖提供信息和照护技能指导、同伴支持、与专业人员联系、决策支持、心理支持和自我照护指导。结局类型主要为对居家照护者和痴呆老年人的干预效果及可行性指标。结论 网络干预对痴呆照护者起到了积极影响,且多要素结合的个性化网络干预更受居家照护者欢迎。未来研究需结合分级诊疗模式和人工智能决策技术,探究在“互联网+护理服务”背景下实现个性化支持的策略。

关键词: 痴呆, 居家照护者, 网络干预, 社区保健护理, 范围综述