在初级保健中获得个性化的痴呆症护理规划:对PriDem干预措施的混合方法评估
Emily Spencer1, Sarah Griffiths2, Katie Flanagan1
1Primary Care and Population Health, UCL, London, UK.
BMJ open
|July 8, 2024
概括
对痴呆症的个性化护理规划在PriDem模型中得到了显著改善,从37.4%增加到64.7%. 一个以团队为基础的方法,由临床痴呆症领先者 (CDLs) 领导,为痴呆症患者提供了整体护理.
科学领域:
- 老年学是一门学科.
- 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:
- 个性化护理规划是痴呆症护理的国家优先事项.
- 现有的研究表明,痴呆症护理计划的质量和一致性存在差异.
- PriDem模型是为了提供可行和可接受的基于初级保健的诊断后痴呆症护理而开发的.
研究的目的:
- 增加对痴呆症患者个性化护理规划的采用.
- 探索实施PriDem模型的促进者和障碍.
- 评估基于初级保健的痴呆症护理模式的可行性和可接受性.
主要方法:
- 一个混合方法的可行性和实施研究.
- 涉及四个初级保健网络 (PCN) 的七个一般实践.
- 利用医疗记录审计和与医疗保健专业人员,痴呆症患者和护理人员的定性访谈.
主要成果:
- 在干预年期间,个性化护理计划的比例从37.4%上升到64.7%.
- 定性数据表明,灵活的PriDem干预有助于员工克服障碍.
- 一个以团队为基础的方法,利用多学科技能,使得更全面的病人护理.
结论:
- 有意义的个性化护理规划是通过协作,以团队为基础的战略实现的.
- 临床痴呆症领导 (CDL) 领导的方法为痴呆症护理提供了显著的好处.
- 建议专员进一步制定护理规划指南.
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