将AAA护理协调员纳入痴呆症初级护理支持:实施挑战和经验教训
Mary C Ehlman1, Suzanne Leahy1, Reagan Lawrence1
1Bronstein Center for Healthy Aging and Wellness, Kinney College of Nursing and Health Professions, University of Southern Indiana, 8600 University Boulevard, Evansville, IN 47712, USA.
整合区域机构的老龄化护理协调员在初级保健机构的痴呆症护理方面表现有前途. 然而,在这些复杂的环境中有效管理痴呆症和支持护理人员方面仍然存在挑战.
科学领域:
- 老年学是一门学科.
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
背景情况:
- 患者,提供者和社区因素的障碍阻碍了在初级保健中诊断和管理痴呆症.
- 目前以最低限度的培训为基础的基于EHR的干预措施不足以应对这些多方面的挑战.
- 需要采取全面的方法来加强早期检测,改善痴呆症护理,并支持患者和护理人员的福祉.
研究的目的:
- 评估一项干预措施的有效性,将老龄化局 (AAA) 护理协调员纳入痴呆症护理的初级护理.
- 评估加强提供者培训和社区支持意识对痴呆症诊断和管理的影响.
主要方法:
- 从痴呆症护理干预中获得的二次数据的回顾性评估.
- 干预包括临床工作流程,半年一次的痴呆症培训和AAA护理协调员整合.
- 在2023年期间分析了三家初级保健诊所的数据.
主要成果:
- 在干预期间,17名护理人员接受了教育和支持推.
- 这种支持达到在诊所看病的322名痴呆症患者中的5.3%.
- 虽然提供者推增加,但痴呆症护理推比例下降.
结论:
- 区域老年保健局协调员是解决初级保健中与健康相关的社会需求的可行模式.
- 在初级保健机构内优化痴呆症护理仍然存在重大复杂性和挑战.
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