痴呆症护理研究和心理社会因素
Elizabeth M Goldberg1, Megan Bounds2
1University of Colorado School of Medicine, Aurora, CO, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
患有痴呆症 (PLWD) 的人群中,跌倒很常见. 适用于PLWD的GAPcare干预措施旨在通过根据个人需求和ED工作流量量身定制护理来减少与落相关的急诊室 (ED) 访问.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 在患有痴呆症的人群中,跌倒的发生率明显高,但有针对性的预防干预措施很少.
- 现有的防摔策略往往不能充分解决PLWD的复杂需求.
- 此前,GAPcare的干预措施减少了66%的与跌倒相关的急诊室 (ED) 访问,而没有增加ED停留时间.
研究的目的:
- 调整有前途的GAP护理干预措施,以改善ED环境中的跌倒预防.
- 收集PLWD,护理人员和专家对GAPcare干预所需的调整的观点.
- 为了确保适应干预,GAPcareAD适合现有的ED工作流程.
主要方法:
- 与PLWD (n=7),他们的护理人员 (n=2),以及痴呆症护理和ED操作的国家专家 (n=15) 进行了半结构化访谈.
- 采访采用基于卡斯特罗干预调整框架的快速定性分析进行了分析.
- 数据收集包括英语和西班牙语的采访,并提供双语/个人和面对面/虚拟格式的选项.
主要成果:
- 参与者强烈支持在ED中加强对PLWD的跌倒预防护理.
- 针对患者,护理人员,ED和外部层面调整干预措施对于PLWD复杂的情况至关重要.
- 情形因素,如访问的紧迫性和逗留时间的压力,需要简化干预,同时允许时间进行教育和护理协调.
结论:
- PLWD,护理人员和专家支持适应GAPcare干预措施的PLWD.
- 适应的GAPcareAD干预措施包括早期反,以与ED工作流程保持一致.
- 将干预丰富与ED工作人员效率的平衡是实施的一个关键挑战.
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