介護施設での抗精神病薬の使用を減らすためのオンライントレーニングプログラム:CARESメソッド
John V Hobday1, Patrick J Rosopa2, Elenah B Rosopa2
1HealthCare Interactive, Inc.
Journal of the American Medical Directors Association
|February 15, 2026
まとめ
オンラインの認知症ケアトレーニングプログラム (CARES) は,ニューメキシコの介護施設で抗精神病薬の使用を減少させた. このプログラムはまた,同級生施設よりも大きな削減を示し,スタッフの認識を改善しました.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
- 医療教育 医療教育について
背景:
- 認知症のケアにおける抗精神病薬の使用は,長期介護施設における重大な懸念事項である.
- 人を中心とした認知症ケア戦略の実施には,効果的なスタッフ研修が不可欠です.
- 以前の介入は,抗精神病薬の使用を減らすのに様々な成功を収めた.
研究 の 目的:
- オンラインでアシンクロン型認知症ケアトレーニングプログラム (CARES) と抗精神病薬の使用量の減少との関連を評価する.
- 長期介護施設におけるスタッフの認識に対するCARESプログラムの影響を評価する.
- CARESプログラムの成功的実施と持続可能性に貢献する要因を特定する.
主な方法:
- ケーススタディのデザインは,ニューメキシコのレイクビュー・クリスチャンの老人ホームで採用されました.
- CARESの認知症5ステップメソッド・コンプリートカタログのオンライントレーニングプログラムは,2019年から実施されています.
- 抗精神病薬の使用とスタッフの認識に関するデータを収集し,同級生介護施設と比較しました.
主要な成果:
- CARESプログラムは成功裏に実施され,コア戦略として継続されました.
- 抗精神病薬の使用の減少は,ニューメキシコのピア介護施設 (2019-2024) と比較して,レイクビュー・クリスチャンではより顕著でした.
- プログラムの柔軟性,自己ペースの配信,行動に焦点を当て,文化的アラインメントは,実装の成功に貢献しました.
結論:
- オンラインの非同期的なCARES認知症ケアトレーニングプログラムは,抗精神病薬の使用量の減少と関連しています.
- 実施の成功には,プログラムの柔軟性,包括的な内容,施設の文化と整合が求められます.
- スタッフと処方医師の両方にとって,人中心の認知症ケア教育を強化する必要性があります.
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