基于平板电脑的干预对生活在初级保健中痴呆症患者的有效性-A集群随机对照试验
Sonia Lech1,2, Paul Gellert1, Robert P Spang3
1Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Institute for Medical Sociology and Rehabilitation Science, Berlin, Germany.
International journal of geriatric psychiatry
|December 1, 2023
概括
基于平板电脑的干预措施并没有改善初级保健医生 (PCP) 对痴呆症护理指南的遵守. 互操作性和指南适用性等实施障碍被确定为初级保健机构的关键挑战.
科学领域:
- 老年病的医生 老年病的医生
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健医生 (PCP) 对痴呆症护理至关重要.
- 德国S3痴呆症指南在初级保健中的实际实施情况尚不清楚.
- 这项研究评估了一项干预措施,以加强在初级保健中遵守指南.
研究的目的:
- 评估基于平板电脑的干预措施的有效性,旨在提高PCP对德国S3痴呆症指南的遵守率.
- 确定在初级保健中实施痴呆症护理指南的障碍和促进者.
主要方法:
- 一个为期9个月的,双臂集群随机对照试验,涉及28个初级保健实践.
- 干预组接受了基于平板电脑的工具;对照组接受了通常的护理以及手册.
- 遵循指南是主要结果,通过PCP和非正式护理人员自主开发的检查清单来衡量. 其次要结果包括生活质量,神经精神症状和护理人员负担.
主要成果:
- 干预组和对照组之间在遵守指南方面没有发现显著差异.
- 基于平板电脑的干预措施没有显著影响二次结果,如生活质量或护理人员负担.
- 此外,还进行了每项协议的后期分析.
结论:
- 评估的基于平板电脑的干预措施没有改善PCP的自我报告的准则遵守.
- 确定了重大实施障碍,包括缺乏互操作性和德国S3痴呆指南在初级保健中的有限适用性.
- 这些发现凸显了将基于证据的指导方针纳入痴呆症常规初级保健中的挑战.
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