Prevalence of involuntary treatment among community-living older persons with dementia: A systematic review.

Autor: Liu M; Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China., Wang Y; Chengdu Fifth People's Hospital, Chengdu, Sichuan, China., Zeng Q; Chengdu Fifth People's Hospital, Chengdu, Sichuan, China., Li J; Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China; Key Laboratory of Psychosomatic Medicine, Chinese Academy of Medical Sciences, Chengdu, China., Yang L; Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China., Zeng Y; Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. Electronic address: zengyanli@cdutcm.edu.cn.
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2024 Dec; Vol. 127, pp. 105574. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.1016/j.archger.2024.105574
Abstrakt: Objective: This systematic review and meta-analysis aimed to ascertain the prevalence of involuntary treatment among community-living older persons with dementia and explore associated factors.
Methods: We comprehensively searched seven electronic databases (PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PsycINFO, and Scopus) from their inception to October 17, 2023, with an update conducted on April 1, 2024. Meta-analysis synthesized prevalence estimates of involuntary treatment and its three subcategories, with 95% confidence intervals.
Results: This study included 11 research papers involving 12,136 community-dwelling individuals with cognitive impairment and dementia from 19 countries. The pooled prevalence of involuntary treatment among community-dwelling older persons with dementia was 45.2% (95% CI: 33.7-60.5%). Subcategories included physical restraints (9.8%, 95% CI: 5.1-18.8%), psychotropic medication (19.1%, 95% CI: 13.6-26.9%), and non-consensual care (34.3%, 27.6-42.7%). Factors influencing involuntary treatment were categorized as caregiver-related and care recipient-related.
Conclusion: This study underscores the prevalent use of involuntary treatment among community-dwelling older persons with dementia, emphasizing its association with specific caregiver and care recipient factors. Addressing these findings underscores the importance of proactive measures and targeted interventions to improve the quality of care for this vulnerable population.
Competing Interests: Declaration of competing interest The authors declare there is no conflict of interests.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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