Aim: To evaluate the effectiveness of non-pharmacological interventions for eating difficulties in people with dementia (PWD).
Background: Eat difficulties are common problems in PWD. Prolonged eating difficulties may lead to inadequate/excessive food and drink intake and other adverse outcomes.
Design: Overview of systematic reviews.
Data sources: Cochrane Library, JBI Library, PubMed, Embase, CINAHL, PsycINFO, and Psychology and Behavioral Sciences Collection, CNKI, WANFANG, from inception up until 23 September 2019.
Review methods: This overview was conducted in accordance with methodological recommendations of Cochrane. Two researchers independently selected studies based on inclusion criteria, extracted data, assessed eligible studies using AMSTAR 2 and GRADE system, and summarized the conclusions.
Results: Eighteen systematic reviews were included. Some evidence showed that environmental modifications, education/training, and Oral nutrition supplements (ONS) were beneficial to improving eating difficulties. But the current evidence failed to support the effectiveness of other interventions.
Conclusion: The overall confidence of systematic reviews is relatively low. High-quality studies are needed to further validate the effectiveness of non-pharmacological interventions for eating difficulties in PWD.
Impact: This overview provides evidence on the effectiveness of non-pharmacological interventions for eating difficulties in PWD. It will guide caregivers to choose more effective interventions to cope with eating difficulties and reduce the risk of adverse outcomes.
目标: 评估痴呆患者(PWD)进食困难的非药物干预措施的有效性。 背景资料: 痴呆患者普遍存在进食困难的问题。长期的进食困难可能导致食物和饮料摄入不足/过量以及其他不良后果。 设计: 系统回顾概述。 数据来源: 考克兰图书馆、JBI循证护理中心图书馆、国际文献数据库(PubMed)、荷兰医学文摘数据库(Embase)、护理学数据库(CINAHL)、心理学文摘(PsycINFO)和心理学和行为科学丛书、中国期刊全文数据库(CNKI)、万方数据库(WANFANG)自成立之初至2019年9月23日的内容。 评审方法: 本概述根据考克兰方法学建议进行。两名研究人员根据纳入标准独立选择研究,提取数据,使用AMSTAR 2和GRADE系统评估符合资格的研究,并总结结论。 结果: 纳入了18篇系统回顾。一些证据表明,环境改造、教育/培训和口服营养补充剂(ONS)有助于改善饮食困难问题。但目前的证据未能证明其他干预措施的有效性。 结论: 系统回顾的总体置信度相对偏低。需要高质量的研究进一步验证痴呆患者(PWD)进食困难的非药物干预措施的有效性。 影响: 本综述提供有关痴呆患者(PWD)进食困难的非药物干预措施有效性方面的证据。其将指导护理人员选择更有效的干预措施来应对其进食困难问题,同时降低不良后果的风险。.
Keywords: dementia; drink; eating; food; nursing; overview of systematic reviews.
© 2020 John Wiley & Sons Ltd.