忠诚很重要:在多个成人日间服务站点实施基于证据的ADS Plus计划
Laura N Gitlin1, Katherine B Marx2, David L Roth3
1College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, United States.
Innovation in aging
|September 22, 2025
概括
增加护理人员支持的成年人日间服务改善了结果. 较高的实施忠实度与护理人员抑郁症状和压力的较大减少有关.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 护理人员支持护理人员支持
背景情况:
- 成人日间服务 (ADS) 可以增加护理人员支持计划.
- 该ADS Plus计划旨在减少护理人员的抑郁症状,并增加ADS的利用率.
- 实施忠实性及其与现场特征和结果的关系尚不清楚.
研究的目的:
- 评估不同地点的ADS Plus计划的实施忠实性.
- 检查忠诚度,网站特征和护理人员结果之间的关系.
- 为了确定忠诚对护理人员抑郁症状和压力的影响.
主要方法:
- 一个集群随机试验,涉及16个ADS站点,分配给ADS Plus.
- 根据入学人数,所面临的挑战和提供的策略,按忠诚度 (高,中等,低) 分类的网站.
- 通过3,6个月和12个月的访谈评估护理人员的结果 (抑郁症状,压力).
主要成果:
- 大多数护理人员 (79.5%) 接受了中度至高保真性护理.
- 高/中等忠诚度的网站提供了更多的会议,并减少了护理人员的困难和压力.
- 更好的忠诚度与服务于白人,非西班牙裔家庭和痴呆症患者的网站的比例更高有关.
结论:
- 对于大多数护理人员来说,ADS Plus计划的实施效果适度至高.
- 更高的忠诚度与照顾者的心理健康和压力显著改善有关.
- 建议对低保真性网站进行程序调整和员工培训,以提高效率.
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