看看社区生活的痴呆症患者的护理人员:对 GUIDE 模型的影响
Julia G Burgdorf1, Vicki A Freedman2, Jennifer L Wolff3
1Center for Home Care Policy & Research, VNS Health, New York, New York, USA.
概括
医疗保险的指导改善痴呆体验 (GUIDE) 模式支持痴呆症患者 (PwD) 的护理人员. 许多护理人员经历了高压力和低服务使用率,这表明当前支持策略中的潜在差距.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 护理人员支持护理人员支持
背景情况:
- 医疗保险的指导改善痴呆体验 (GUIDE) 模式旨在为社区居住的痴呆症患者 (PwD) 提供综合痴呆症护理和护理人员支持.
- 在医疗保健模型中,护理人员的压力是影响提供者支付和绩效的关键因素.
- 了解护理人员的需求对于有效的痴呆症护理提供至关重要.
研究的目的:
- 确定哪些护理人员将根据GUIDE模型获得支持.
- 描述社区生活PWD中护理人员压力的流行情况.
- 检查护理人员对支持服务的使用情况.
主要方法:
- 对有关社区生活的痴呆症患者 (PwD) 及其照顾者的国家调查数据的分析.
- 在 GUIDE 模型框架内确定有资格获得支持的护理人员.
- 描述护理人员的压力水平和支持性服务使用模式.
主要成果:
- 大约50%的符合GUIDE资格的PWD从多个护理人员那里得到照顾.
- 高照顾者压力很普遍,甚至在照顾者被归类为"低复杂性"在指南.
- 使用与角色相关的培训 (11%),休息护理 (18%) 和支持小组 (4%) 是低的,与照顾者压力水平无关.
结论:
- 目前的护理人员识别和评估标准可能不包括所有符合条件的护理人员.
- 为了最大限度地发挥痴呆症护理模式的影响,护理人员的参与和服务提供必须与PWD护理网络的复杂现实保持一致.
- 创新的痴呆症护理模式应考虑护理的多面性质,并确保对所有参与护理人员提供全面支持.
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