公共卫生 公共卫生
1Instituto Nacional de Geriatría (National Institute of Geriatric), Mexico City, DF, Mexico.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
墨西哥的初级保健专业人员接受了培训,以改善痴呆症的检测. 在接受新工具的同时,他们面临着时间限制和系统问题等重大障碍,阻碍了将其整合到常规实践中.
科学领域:
- 老年病学和老年学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在墨西哥,由于政策和服务缺陷,认知障碍和痴呆症往往没有被诊断出来.
- 医疗保健专业人员 (HCP) 缺乏老年病专业培训,影响痴呆症的诊断和护理.
- 培训不足会造成误解和障碍,阻碍老年人获得有效的医疗保健服务.
研究的目的:
- 试点在墨西哥城的初级保健机构开展认知障碍和痴呆症早期检测计划.
- 评估培训对医疗保健工作者关于痴呆症护理的知识,信心,态度和行为的影响.
- 确定在初级保健中实施认知评估工具的障碍和促进者.
主要方法:
- 一个试点项目,涉及四家诊所的16名初级保健保健医师,是达沃斯阿尔茨海默氏症协作系统准备 (DAC-SP) 早期检测计划的一部分.
- 医疗保健人员接受了培训,并在试点开始和结束时完成了评估 (知识,信心,态度,行为).
- 60岁以上的患者使用WHO ICOPE和数字认知评估工具 (DCA) 进行评估;采访使用CFIR模型探索实施.
主要成果:
- 医疗保健专家报告说,他们对痴呆症护理的信心很低,因为患者的时间不足,缺乏转诊知识和高成本是主要障碍.
- 初步采访表明,人们对认知评估的重要性和培训的积极影响的认识增加了.
- 卫生工作人员认识到与工作流程,系统兼容性和缺乏行政支持有关的实施挑战.
结论:
- 医疗保健人员表现出对全面老年病评估的创新工具的接受.
- 必须解决医疗保健系统 (内部设置) 和外部因素 (外部设置) 内的重大障碍,以确保成功的整合.
- 消除已识别的障碍对于将高级认知评估工具纳入常规初级保健中至关重要.
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