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Prevalence of involuntary treatment among community-living older persons with dementia: A systematic review.
Liu, Minyan; Wang, Yuqiang; Zeng, Qinglin; Li, Jia; Yang, Liping; Zeng, Yanli.
Afiliación
  • 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.
Arch Gerontol Geriatr ; 127: 105574, 2024 12.
Article en En | MEDLINE | ID: mdl-39059035
ABSTRACT

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia / Vida Independiente / Tratamiento Involuntario Límite: Aged / Aged80 / Humans Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia / Vida Independiente / Tratamiento Involuntario Límite: Aged / Aged80 / Humans Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos