赋予痴呆症护理的全科医生权力:欧洲的ANTISTIGMA教育干预
Leslie Cartz-Piver1,2, Benjamin Calvet2,3, Shima Mehrabian-Spassova4
1Memory Resource and Research Center, Department of Neurology, Dupuytren University Hospital, Limoges, France.
International journal of geriatric psychiatry
|July 1, 2023
概括
一个抗的教育干预有效地减少了消极的刻板印象,提高了全科医生对痴呆症检测和护理的信心. 这项培训通过解决痴呆症诊断和管理中的耻辱和实际挑战,使全科医生有能力.
科学领域:
- 医学教育 医学教育
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,包括在欧洲,痴呆症的诊断往往被推迟或错过.
- 一般医生 (GPs) 拥有知识,但因耻辱而无法将其应用于痴呆症护理.
- 与痴呆症相关的耻辱感会对及时诊断和患者管理产生负面影响.
研究的目的:
- 评估一种旨在改善全科医生在痴呆症检测中的作用的抗的教育干预措施.
- 将培训重点从"什么"转移到"为什么"和"如何"的痴呆症诊断和管理,结合道德和实践方面.
- 减少负面刻板印象,提高医疗保健专业人员对痴呆症护理的临床信心.
主要方法:
- 在四所欧洲大学 (法国,保加利亚,波兰) 实施了反耻辱教育干预.
- 收集的数据包括一般信息,培训和痴呆症护理经验.
- 痴呆症消极刻板印象 (DNS) 和痴呆症临床信心 (D-CO) 在干预前后使用特定尺度进行测量.
主要成果:
- 干预显著减少了总体的负面刻板印象 (34.2%至29.9%) 和与全科医生的角色,耻辱,风险,缺乏益处和沟通有关的特定刻板印象.
- 痴呆症临床信心 (D-CO) 在培训后的所有临床情况中显著增加,特别是在诊断方面.
- 没有先前老年医疗培训的参与者和在养老院工作的人显示出最显著的改善.
结论:
- 抗耻辱症计划对于通过解决痴呆症护理中耻辱的实际障碍来赋予全科医生权力至关重要.
- 专注于伦理考虑和实际管理的教育对于提高全科医生对痴呆症的检测和护理至关重要.
- 这项干预表明了定制教育方法的重要性,以克服耻辱和改善对痴呆症诊断和管理的临床信心.
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