在COVID-19之前和期间,在养老院实用地实施音乐干预
Ellen M McCreedy1, Aleena Dewji2, Laura Dionne3
1Center for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA; Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI, USA.
Journal of the American Medical Directors Association
|November 30, 2023
概括
在COVID-19大流行期间,与在养老院的流行前试验相比,音乐干预的坚持忠实度下降. 这表明对质量改善能力和痴呆症护理资源的可用性有潜在的长期影响.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 行为科学 行为科学
背景情况:
- 在养老院 (NHs) 的痴呆症护理通常涉及管理行为症状.
- 已经探索了音乐干预来管理这些行为.
- 实施的忠实性对于干预的有效性至关重要.
研究的目的:
- 为了比较流行病前 (2019) 和流行病 (2021) 试验之间的痴呆症行为管理音乐干预的坚持忠实度.
- 使用实施忠实度框架 (FIF) 标准分析实施忠实度.
主要方法:
- 两项涉及54个国家公路的试验的横截面描述性实施比较.
- 评估的FIF标准:覆盖范围,持续时间,频率和内容细节.
- 较高和低粘附三位体之间的NH特征.
主要成果:
- 与所有FIF领域的COVID-19大流行试验相比,在COVID-19大流行试验期间,坚持忠诚度明显较低.
- 在大流行期间,音乐干预的覆盖范围,持续时间和频率大幅下降.
- 不管试验期是什么,高忠诚度的国民医院的员工比例和人口统计数据都更好.
结论:
- 随着COVID-19的流行,对NHs的音乐干预产生了负面影响,对NHs的音乐干预有负面影响.
- 调查结果可能表明,大流行对国家公路质量改善能力或资源限制的持久影响.
- 在NH中实施复杂的行为干预措施可能需要持续的研究支持和资源.
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