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关于初级保健中最佳实践模型可行性和实施研究的协议,以诊断后痴呆症护理为主:PriDemDem

Sarah Griffiths¹, Emily Spencer², Jane Wilcock²

¹Research Department of Primary Care & Population Health, UCL, London, UK s.a.griffiths@ucl.ac.uk.

|August 19, 2023

概括

这项研究测试了由临床痴呆症领袖 (CDLs) 领导的基于初级保健的痴呆症护理干预. 其目的是改善对痴呆症患者及其照顾者的诊断后支持,提高照顾计划和劳动力能力.

科学领域:

老年学是一门学科.
主要护理医学医疗保健
医疗保健服务研究医疗服务研究

背景情况:

痴呆后的诊断护理往往是分散的和不充分的.
专家领导的痴呆症支持是昂贵的和不可持续的.
建议采用以初级保健为主导的任务共享模式,以改善痴呆症护理.

研究的目的:

评估在初级保健机构提供以证据为基础,以人为中心的痴呆症护理干预措施的交付情况.
评估临床痴呆症领导 (CDLs) 在开发痴呆症护理系统中的可行性和实施.
建立劳动力能力,并支持为个人及其照顾者提供量身定制的痴呆症护理.

主要方法:

在四个NHS初级保健网络中进行为期15个月的混合方法可行性和实施研究.
通过患者记录审计,评估采用个性化护理规划.
招募80名痴呆症患者和66名护理人员进行健康和福祉措施.
使用定性访谈,观察和忠实日志进行流程评估.
经济分析以确定成本效益.

主要成果:

该研究评估了采用个性化护理规划作为主要结果.
可行性评估招聘,留住和干预的可接受性和忠诚度.
过程评估确定了实施障碍和促进者.
参与者数据包括健康,福祉和服务使用.

结论:

结果将为未来的大规模评估提供干预调整的信息.
调查结果将为启动痴呆服务的建议提供指导.
这项研究有助于开发可持续的,基于初级保健的痴呆症支持模型.

关键词:

衰老的衰老衰老的衰老痴呆症是一种痴呆症.可行性研究可行性研究一般医学 (见内科)为老年人提供健康服务.主要护理基本护理

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