ABSTRACT

Objectives

Inpatient mental health beds for people with dementia are a limited resource. Practitioners need an understanding of this population to provide high-quality care and design services. This review examines the characteristics, care, and outcomes of people with dementia admitted to inpatient mental health services.

Methods

Systematic searches of key databases were undertaken up to November 2021. Findings were grouped into categories and then synthesized into a narrative review.

Results

The review identified 36 international papers, the majority of which were retrospective audits. The literature describes significant psychiatric and medical comorbidity and significant risk of change in residence and death associated with admission.

Conclusions

We found a limited literature describing the characteristics, care, and outcomes of people with dementia in inpatient mental health services. The lack of research is striking given the complexity and vulnerability of this client group. More research is needed to describe the needs of this group, current and best practice to optimize care.

Clinical Implications

Professionals working in inpatient mental health services need to be aware of the evidence base available, consider how they evaluate patient outcomes, review their staffing and skills mix, and seek the views of patients and relatives in improving services.

中文翻译：

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住院精神卫生保健中痴呆症患者的特征和结果：回顾

摘要

目标

为痴呆症患者提供的住院心理健康床位是有限的资源。从业者需要了解这一人群，以提供高质量的护理和设计服务。这篇综述检查了住院精神卫生服务的痴呆症患者的特征、护理和结果。

方法

截至 2021 年 11 月，对关键数据库进行了系统搜索。将发现的结果分为几类，然后综合成叙述性评论。

结果

审查确定了 36 篇国际论文，其中大部分是回顾性审计。文献描述了显着的精神和医学合并症以及与入院相关的居住变化和死亡的显着风险。

结论

我们发现有限的文献描述了住院精神卫生服务中痴呆症患者的特征、护理和结果。鉴于该客户群的复杂性和脆弱性，缺乏研究是惊人的。需要更多的研究来描述该群体的需求、优化护理的当前和最佳实践。

临床意义

在住院精神卫生服务中工作的专业人员需要了解可用的证据基础，考虑他们如何评估患者的结果，审查他们的人员配备和技能组合，并在改进服务时征求患者和亲属的意见。