在养老院和住院的行为管理:一个随机对照试验
R Proctor1, A Burns, H S Powell
1Withington Hospital, Manchester, UK.
Lancet (London, England)
|July 16, 1999
概括
对养老院工作人员的行为干预显著改善了老年居民的抑郁症和认知障碍. 这项培训提高了在住院环境中为老年人提供精神病治疗的质量.
科学领域:
- 老年精神病学是一门精神病学专业.
- 行为干预 行为干预
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 住院和养老院中老年人数的增加需要有效的精神病治疗策略.
- 评估针对老年居民的专业精神病学干预措施的影响至关重要.
- 老年精神病医院外联团队可以在解决这些需求方面发挥重要作用.
研究的目的:
- 评估由老年精神病医院外联团队提供的行为干预.
- 评估养老院和住院护理人员培训和教育的有效性.
- 改善对有行为问题的老年居民的精神病治疗.
主要方法:
- 一个为期6个月的随机对照试验,涉及12个匹配的护理和住院在南曼彻斯特,英国.
- 干预组工作人员接受了研讨会和每周精神病护士支持护理规划技能.
- 结果措施包括认知障碍,抑郁症,行为障碍和功能能力.
主要成果:
- 干预组的居民在抑郁症得分上显示了统计学上显著的改善 (差异为-0.5).
- 干预组的认知障碍得分也显著改善 (差异为-0.7).
- 在行为障碍或功能能力 (巴特尔指数) 中没有观察到显著的变化.
结论:
- 医院外联团队提供的培训可以提高老年居民的护理质量.
- 在这种人群中,行为干预可以有效地改善特定的精神病结果,如抑郁症和认知功能.
- 外展计划是支持长期住院环境中的精神病医疗护理的宝贵模式.
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