Background:Person-centered care (PCC) is an important concept in many countries’ national guidelines and dementia plans. Key intervention categories, i.e., a taxonomy of person-centered (PC)-interventions, to provide person-centered dementia care, are difficult to identify from literature. Objective:This systematic review aimed to identify and categorize published PC-interventions into key intervention categories to guide the provision of person-centered dementia care. Methods:Conduct of this systematic review followed Cochrane guidelines. A search of the dimensions ‘Dementia’, ‘Person-Centered Care’, and ‘Intervention’ combined was performed in PubMed, EMBASE, and Web of Science. Study selection was based on 2-stage screening against eligibility criteria, limited to controlled study designs. Information about interventions and outcomes was extracted into an “Effects Table”. The identified PC-interventions were categorized in intervention categories to provide person-centered dementia care. Results:Searches identified 1,806 records. 19 studies were included. These covered a range of psychosocial interventions, oftentimes multi-component interventions, which followed heterogeneous approaches. Studies were conducted in long-term care/hospital settings. Nine key intervention categories were identified: social contact, physical activities, cognitive training, sensory enhancement, daily living assistance, life history oriented emotional support, training and support for professional caregivers, environmental adjustments, and care organization. Conclusion:Our findings provide a current overview of published PC-interventions in dementia, which followed heterogeneous approaches under the PCC-concept. The heterogeneity made it challenging to identify a well-defined concept of PCC and common key intervention categories. An effectiveness-evaluation of “PC”-including “relationship-centered”-interventions may be valuable, to assess whether an explicit focus on relationships around PCC-interventions yields an added benefit.PROSPERO-ID: CRD42021225084.

中文翻译：

---

提供以人为中心的痴呆症护理的关键干预类别：对以人为中心的干预的系统审查

背景：以人为本的护理 (PCC) 是许多国家的国家指南和痴呆症计划中的重要概念。提供以人为中心的痴呆症护理的关键干预类别，即以人为中心 (PC) 干预的分类法，很难从文献中确定。目的：本系统评价旨在确定已发表的 PC 干预并将其归类为关键干预类别，以指导提供以人为中心的痴呆症护理。方法：本系统评价的实施遵循 Cochrane 指南。在 PubMed、EMBASE 和 Web of Science 中对“痴呆症”、“以人为本的护理”和“干预”这三个维度进行了搜索。研究选择基于符合资格标准的两阶段筛选，仅限于对照研究设计。有关干预措施和结果的信息被提取到“效果表”中。确定的 PC 干预被归类为干预类别，以提供以人为中心的痴呆症护理。结果：搜索确定了 1,806 条记录。纳入 19 项研究。这些包括一系列社会心理干预，通常是多成分干预，采用不同的方法。研究是在长期护理/医院环境中进行的。确定了九个关键干预类别：社会接触、体育活动、认知训练、感觉增强、日常生活援助、生活史导向的情感支持、专业护理人员的培训和支持、环境调整和护理组织。结论：我们的研究结果提供了对痴呆症已发表的 PC 干预的当前概述，它遵循 PCC 概念下的异构方法。异质性使得确定明确定义的 PCC 概念和常见的关键干预类别具有挑战性。对“PC”——包括“以关系为中心”——干预的有效性评估可能是有价值的，以评估明确关注围绕 PCC 干预的关系是否会产生额外的好处。PROSPERO-ID：CRD42021225084。