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Non-Pharmacologic Interventions for Caregivers of People With Dementia in Latin America: A Review

机译:拉丁美洲痴呆症人民的非药剂学干预措施:审查

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Abstract In a scenario of increasing longevity and social inequalities, Latin-America is an important contributor to the worldwide dementia burden. Caregivers’ health is fundamental to maintain the person with dementia quality of life. However, caregiving is a culturally sensible role that requires tailored solutions. The aim is to synthesize the evidence about non-pharmacologic interventions targeted to caregivers of people with dementia in Latin-American contexts. A comprehensive review of interventions in caregivers and persons with dementia in Latin-American countries was conducted using MEDLINE, Embase, PsycINFO, and Scopus with studies published until January 27th, 2020. Randomized clinical trials of non-pharmacologic interventions targeted to caregivers of people with dementia or dyads where included. Qualitative synthesis of the evidence was presented and analyzed. Overall, 9 pilot RCT were included for the final analysis (6 Brazil, 1 Colombia, 1 Mexico, 1 Perú). The biggest study recruited 69 caregivers and the smallest 13 dyads, with follow-up range of 3-6 months. 5 control groups received at least some other non-standard care type of intervention. 8 were targeted exclusively to caregivers (4 group intervention, 3 individual, and 1 combined) and 1 multicomponent intervention. Most frequent measured outcomes were caregiver’s burden, anxiety, depressive symptoms, and quality of life, and person with dementia neuropsychiatric symptoms. Individual interventions report better results in caregiver parameters such as burden and depressive symptoms and person with dementia neuropsychiatric symptoms. Group interventions presented mixed results. Nevertheless, the quality of evidence was low. There is a critical need to study interventions for caregivers in Latin-American contexts.
机译:摘要在增加长寿和社会不平等的情况下,拉丁美洲是全球痴呆症负担的重要贡献者。护理人员的健康是维持痴呆症的生活质量的基础。然而,护理是一种文化明智的作用,需要定制的解决方案。目的是综合关于在拉丁美洲背景下具有痴呆症的人们的非药剂学干预措施的证据。在2020年1月27日之前,使用Medline,Embase,Psycinfo和Scopus进行了一项全面审查了拉丁美洲国家的痴呆症和痴呆症的人的痴呆症的人员。迄今为止的非药理学干预措施的随机临床试验,针对人的照顾者包括在内的痴呆症或二元。呈现和分析了定性综合证据。总体而言,9个试点RCT被列入最终分析(6巴西,1个哥伦比亚,1墨西哥,1Perú)。最大的研究招募了69名护理人员和最小的13个二元,随访时间为3-6个月。 5对照组至少收到至少一些其他非标准护理类型的干预。 8专门针对护理人员(4组干预,3个个体和1个组合)和1个多组分干预。最常见的衡量结果是护理人员的负担,焦虑,抑郁症状和生活质量,以及患有痴呆神经精神症状的人。个人干预措施报告了优化的参与者参数,如负担和抑郁症状和患有痴呆神经精神症状的人。小组干预率呈现了混合结果。然而,证据质量低。在拉丁美洲语境中研究护理人员的干预措施急切需要。

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