将痴呆症护理管理纳入常规护理:德国西根-维特根斯坦的一项队列研究 (RoutineDeCM) 的协议
Jochen René Thyrian1,2, Melanie Boekholt3, Charlotte Boes4
1Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Greifswald, Germany Rene.thyrian@dzne.de.
BMJ open
|June 26, 2024
概括
这项研究在德国实施了痴呆症护理管理 (DeCM),旨在减少痴呆症患者和护理人员的未满足需求. 结果将为日常护理整合和国家痴呆症战略提供信息.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 痴呆症护理管理 (DeCM) 是一种基于证据的模型,其有效性和成本效益已被证明.
- 尽管DeCM取得了成功,但它并没有被纳入德国的常规护理.
- 国家痴呆症战略包括探索DeCM实施要求.
研究的目的:
- 在德国的一个地区,将适应的DeCM应用到日常护理中.
- 评估DeCM对认知障碍患者及其非正式照顾者的影响.
- 评估DeCM在初级保健机构中的可行性和影响.
主要方法:
- 一项为期12个月的研究,涉及90名患有认知障碍的患者和护理人员.
- 由训练有素的痴呆症护理经理在6个月内提供适应的DeCM干预.
- 在基线,干预结束和干预后6个月收集数据,重点关注未满足的需求,药物,症状,负担,认知,脆弱和生活质量.
主要成果:
- 主要结果:干预后6个月和12个月减少未满足需求.
- 二次结果:改善了抗痴呆症药物治疗,神经精神病症状和护理人员负担.
- 探索对认知,虚弱和与健康有关的生活质量的影响.
结论:
- 该研究旨在证明将DeCM整合到德国常规护理中的可行性和有效性.
- 调查结果将为全国范围内扩大DeCM提供证据.
- 成功实施可能会显著改善德国的痴呆症护理.
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