痴呆症护理研究和心理社会因素
Lusine Poghosyan1, Kyle G Featherston1, Maura Dougherty1
1Columbia University School of Nursing, New York, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
护士执业人员 (NPs) 照顾痴呆症患者 (PLWD) 缺乏必要的实践管理工具,导致倦怠和离开的意图. 改善对这些国家计划的支持对于痴呆症护理质量和劳动力保留至关重要.
科学领域:
- 老年学是一门学科.
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球有超过5500万人患有痴呆症,需要加强初级保健能力.
- 高级实践护士,特别是执业护士 (NP),是满足日益增长的痴呆症护理需求的关键.
- 初级保健NP在提供痴呆症护理方面遇到重大结构性,组织性和劳动力挑战.
研究的目的:
- 探索在美国提供痴呆护理的NP中实践管理能力,组织背景和工作成果.
- 发现与其他慢性疾病相比,痴呆症患者 (PLWD) 护理的实践管理中的缺陷.
- 评估这些挑战对NP倦怠,工作不满和离职意向的影响.
主要方法:
- 在2021-2023年期间,使用修改的迪尔曼方法对NP进行了全国性调查.
- 调查被发送给NPs照顾30个或更多的PLWD和其他NP在他们的实践中.
- 总共有968个NP在847个实践中响应,估计响应率为16.4-36.4%.
主要成果:
- 与心血管疾病,糖尿病和抑郁症相比,NP报告了PLWD护理的显著实践管理缺陷.
- 不到60%的NP拥有PLWD护理的工具,模板和提醒,与其他慢性疾病不同.
- 近36%的NP报告说已经倦怠,超过20%的人打算在一年内离开工作.
结论:
- 加强初级保健实践和为痴呆症护理提供必要的工具至关重要,因为PLWD人数越来越多.
- 广泛的NP倦怠对患者护理和劳动力稳定性构成风险.
- 提高NP能力和组织支持对于能够治疗痴呆症的员工和改善患者治疗结果至关重要.
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