基于老年人整合照护框架构建老年人轻度认知功能障碍社区-家庭管理模式OA

Objective To develop a community-family management model for older adults with mild cognitive impairment(MCI)and to formulate detailed application specifications,and to fully leverage the initiative of communities and fami-lies under limited resource conditions,for achieving community-based early detection and early intervention for older adults with MCI. Methods A systematic literature review was conducted to identify pertinent publications.Corpus-based research method-ologies were employed to extract,refine,integrate and synthesize management elements,thereby establishing the specific content and service processes for each stage of the management model.Utilizing the 5W2H analytical framework,essential elements such as management stakeholders,target populations,content and methods for each stage were delineated.The model and its application guidelines were finalized through expert consultation and demonstration. Results An expert evaluation of the management model yielded mean scores of 4.84,4.32 and 4.84 for acceptability,fea-sibility and systematicity,respectively.By integrating the identified core elements with expert ratings and feed-back,the final iteration of the community-family management model for older adults with MCI was formulated.This model comprised of five stages:screening and identification,comprehensive assessment,intervention plan-ning,monitoring and referral pathways to ensure implementation,and enhanced support for communities,family members and caregivers.Additionally,it included 18 specific application guidelines. Conclusion The proposed management model may theoretically help delay cognitive decline,improve cognitive func-tion and potentially promote reversal from MCI to normal cognition.It may also enhance the awareness and cop-ing capacity of older adults and their families,strengthen community healthcare professionals'ability to early identify and manage MCI.