跌倒后在家中保持独立:对痴呆症患者的MAINTAIN多组件干预措施的过程评估
Leanne Greene1, Louise M Allan2, Alison Bingham2
1University of Exeter Medical School, CTU, College House St. Luke's Campus, Exeter, Devon EX1 2LT, UK.
Age and ageing
|September 10, 2025
概括
MAINTAIN干预表明,家庭支持对痴呆症患者来说是可行的和可以接受的,以减少跌倒风险和提高信心. 进一步的研究应该完善多学科支持和焦虑管理策略.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 痴呆症患者的跌倒会导致身体和心理问题,减少独立性,以及大量的医疗保健费用.
- 痴呆症患者面临较高的跌倒风险,但有效的家庭干预措施很少.
- 对于针对痴呆症患者在家庭环境中预防摔倒的干预措施的证据有限.
研究的目的:
- 评估在痴呆症患者中预防跌倒的家庭MAINTAIN干预措施的可行性和可接受性.
- 通过混合方法的方法来探索干预交付,参与和感知有效性的过程.
- 确定影响试点集群随机对照试验干预忠实性和结果的因素.
主要方法:
- 一个试点集群随机对照试验使用现实主义方法和混合方法的过程评估在六个英国的网站.
- 通过数据收集检查,干预会议的观察,团队会议和监督来评估忠诚度.
- 与痴呆症患者,护理人员和治疗师进行了半结构化访谈,以收集定性见解.
主要成果:
- 维持干预显示了高保真度,参与者平均接受了15次治疗.
- 定性数据表明,家庭访问促进了参与,多学科支持改善了治疗师的信心.
- 虽然大多数参与者提高了信心并实现了目标,但挑战包括服务交付差异,护理人员负担和推途径有效性的变化.
结论:
- 发现MAINTAIN干预措施对于痴呆症患者的跌倒预防是可行的和可接受的.
- 未来的研究应该标准化多学科的支持,包括与跌倒相关的焦虑干预措施,并制定维护策略.
- 像视频咨询这样的协议调整显示出解决劳动力限制的潜力.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10.4K
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
7.1K
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
2.4K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
2.4K
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:25Continuing Care
1.8K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.8K
01:27Peripheral Artery Disease III: Interprofessional Care
215
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
215
01:29Self-Evaluation Maintenance Model
248
The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
248