在五家医院实施痴呆症友好型培训计划的实施和结果
Ellen Roberts1, Ellen C Schneider1, Maureen Dale1
1UNC Center for Aging and Health, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA.
概括
对痴呆症友好的医院培训提高了医务人员对患者需求的认识. 虽然跌倒和再入院没有变化,但平均住院时间减少,这表明对痴呆症老年人的护理更好.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 改善医疗保健质量 改善医疗保健质量
- 痴呆症护理管理 痴呆症护理管理
背景情况:
- 65岁及以上的患有痴呆症 (PLWD) 的住院患者经常经历不理想的健康结果.
- 现有的医院系统可能无法充分满足PLWD的独特需求,导致护理体验和结果差.
研究的目的:
- 为医院工作人员实施痴呆症友好型培训计划.
- 评估这种培训对患者结果的影响,包括跌倒,停留时间和再入院率.
- 促进医院内部可持续的系统级变化,以更好地支持PLWD.
主要方法:
- 在五家医院进行了一项前性研究,使用CARES®痴呆症5步方法为医院在线培训.
- 工作人员完成了在线模块和教学课程,随后进行了干预前后调查.
- 系统地收集和分析了患者的关键结果,例如跌倒,停留时间和再入院率.
主要成果:
- 总共有1836名 (41%) 医院工作人员成功完成了痴呆症友好型培训.
- 在工作人员报告的痴呆症症状和培训后需要的认知中观察到显著的积极转变.
- 虽然跌倒和再入院率保持稳定,但每名患者住院平均次数的统计显著下降0.24 (p=0.01).
结论:
- 对痴呆症友好的医院培训有效地提高了工作人员识别和适当响应痴呆症住院患者需求的能力.
- 培训有助于改善患者护理和潜在的更高效的资源利用,以减少逗留时间为证.
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