介護施設と住居での行動管理:ランダム化制御試験
R Proctor1, A Burns, H S Powell
1Withington Hospital, Manchester, UK.
Lancet (London, England)
|July 16, 1999
まとめ
介護老人ホームスタッフに対する行動介入は,高齢者のうつ病と認知障害を大幅に改善しました. この研修により,住宅施設での高齢者の精神科医療の質が向上しました.
科学分野:
- 高齢者精神科医の精神医学について
- 行動介入 行動介入
- 医療の質の向上 医療の質の向上
背景:
- 住居や介護施設での高齢者人口の増加は,効果的な精神科のケア戦略を必要とします.
- 高齢者住人のための専門的な精神科介入の影響を評価することは極めて重要です.
- 老年精神科病院のアウトリーチチームは,これらのニーズに対処する上で重要な役割を果たすことができます.
研究 の 目的:
- 老年精神科病院のアウトリーチチームによって提供された行動介入を評価するために.
- 介護施設や老人ホームの介護スタッフの研修と教育の効果を評価する.
- 行動障害のある高齢者の精神医療の改善を図る.
主な方法:
- イギリスのサウスマンチェスターにある12のマッチングされた介護施設と住宅施設を対象とした6ヶ月のランダム化制御試験です.
- 介入グループのスタッフはセミナーを受け,ケアプランニングのスキルのための週1回の精神科看護師のサポートを受けました.
- 結果指標には,認知障害,うつ病,行動障害,機能能力が含まれていました.
主要な成果:
- 介入グループの住民は,うつ病スコアで統計的に有意な改善を示しました (差異 -0.5).
- 認知障害のスコアも介入グループで有意に改善した (差 -0.7).
- 行動障害や機能能力 (バルテル指数) の有意な変化は観察されなかった.
結論:
- 病院のアウトリーチチームによって提供されるトレーニングは,高齢の住民のケア品質を向上させることができます.
- 行動介入は,この集団におけるうつ病や認知機能などの特定の精神疾患の改善に効果的です.
- アウトリーチプログラムは,長期滞在施設での精神科ケアを支援する貴重なモデルです.
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