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为居家痴呆症患者的家庭照顾者开展在线教育项目的挑战:一项综合综述。

Challenges of conducting of online educational programs for family caregivers of people with dementia living at home: An integrative review.

作者信息

Wen Yuting, Xing Yurong, Ding Yaping, Xu Wenhui, Wang Xiaoxiao

机构信息

The School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China.

The School of Nursing, Pingxiang Health Vocational College, Pingxiang, Jiangxi, China.

出版信息

Int J Nurs Sci. 2022 Dec 29;10(1):121-128. doi: 10.1016/j.ijnss.2022.12.017. eCollection 2023 Jan.

Abstract

OBJECTIVES

This integrative review aimed to understand the challenges of conducting online educational programs for family caregivers of people with dementia by focusing on the components and design of them.

METHODS

Following Whittemore & Knafl's five-step method, seven databases were systematically searched. The Mixed Methods Appraisal Tool was used to evaluate the quality of the studies.

RESULTS

Of the 25,256 articles identified, 49 studies were included. Limitations in components (including useless or repetitive information, incomplete access to dementia-related information, the impact of components related to culture or ethnicity or gender) and in the format of delivered information (including less interaction, time schedule limitations and preference for traditional forms of delivery of information) make it more challenging to conduct online educational programs. Additionally, implementation constraints such as technical problems, poor computer literacy, and fidelity assessment are challenges that cannot be ignored.

CONCLUSIONS

Insight into the challenges of online educational programs for family caregivers of people with dementia can help guide researchers in constructing the optimal online educational program. Incorporating cultural specificity, considering structured construction strategies, optimizing interaction design, and increasing fidelity assessment may contribute to the conduct of online educational programs.

摘要

目的

本整合性综述旨在通过关注针对痴呆症患者家庭照护者的在线教育项目的组成部分和设计,来了解开展此类项目所面临的挑战。

方法

按照惠特莫尔和克纳夫的五步方法,系统检索了七个数据库。使用混合方法评估工具来评估研究质量。

结果

在识别出的25256篇文章中,纳入了49项研究。组成部分方面的局限性(包括无用或重复的信息、无法完整获取与痴呆症相关的信息、与文化或种族或性别相关的组成部分的影响)以及所提供信息形式方面的局限性(包括互动较少、时间安排限制以及对传统信息传递形式的偏好)使得开展在线教育项目更具挑战性。此外,诸如技术问题、计算机素养差和保真度评估等实施方面的限制也是不可忽视的挑战。

结论

深入了解针对痴呆症患者家庭照护者的在线教育项目所面临的挑战,有助于指导研究人员构建最佳的在线教育项目。纳入文化特异性、考虑结构化构建策略、优化互动设计以及加强保真度评估可能有助于开展在线教育项目。

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