Background: With the increase in the proportion of people with dementia (PWD), it is necessary to address dementia-related issues among older adults who live at home; however, there is no integrative review on this issue. Objectives: To describe and analyze quantitative and qualitative studies from primary sources in order to identify the factors which impact home care outcomes among PWD. Methods: A computer search of PsycINFO, MEDLINE (PubMed), and the Cumulative Index of Nursing and Allied Health Literature (CINAHL) was performed. This study was guided by Whittemore and Knafl’s integrative review method. Results: This review of the literature identified 3 main factors related to home care outcomes among PWD. These factors are environmental factors, caregiver-related factors, and social network factors. Conclusions: Further research is required to investigate the impacts of multiple social and environmental factors on home care outcomes among PWD; which can eventually be used by nurses and family caregivers when providing care for older adult PWD.
Dement Geriatr Cogn Disord Extra 2021;11:99–109

中文翻译：

---

与居住在社区的老年痴呆症患者的家庭护理结果相关的因素

背景：随着痴呆症（PWD）患者比例的增加，有必要解决居家老年人的痴呆相关问题；但是，没有对这个问题进行综合审查。目的：描述和分析来自主要来源的定量和定性研究，以确定影响 PWD 家庭护理结果的因素。方法：对 PsycINFO、MEDLINE (PubMed) 和护理与联合健康文献累积索引 (CINAHL) 进行计算机搜索。这项研究以 Whittemore 和 Knafl 的综合审查方法为指导。结果：这篇文献综述确定了与 PWD 家庭护理结果相关的 3 个主要因素。这些因素是环境因素、照顾者相关因素和社会网络因素。结论：需要进一步研究来调查多种社会和环境因素对 PWD 家庭护理结果的影响；在为老年 PWD 提供护理时，最终可以由护士和家庭护理人员使用。
Dement Geriatr Cogn Disord Extra 2021;11:99–109