在辅助生活中针对居民对居民的攻击的员工干预:一个集群随机试验
Jeanne A Teresi1,2, Stephanie Silver1, Gabriel D Boratgis1
1Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Journal of the American Geriatrics Society
|January 9, 2026
概括
一个培训计划显著提高了员工的知识,识别,记录和报告在辅助生活设施的居民对居民的侵略 (RRA). 这种干预措施有效地提高了RRA的居民的护理和安全.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 护理 护理 护理
背景情况:
- 居民对居民的侵略 (RRA) 是长期护理环境中普遍存在的问题,具有显著的负面后果.
- 现有的基于证据的RRA培训和干预策略是有限的.
- 本研究旨在评估针对辅助生活设施中RRA的干预措施.
研究的目的:
- 评估培训干预对员工关于RRA的知识的影响.
- 评估干预措施在提高RRA的认可,文档和报告方面的有效性.
- 确定辅助生活环境中干预的近端和远端结果.
主要方法:
- 一项涉及14个辅助生活设施 (7项干预,7项常规护理) 的比较研究,共930名居民.
- 干预设施的员工接受了RRA培训;通常的护理设施没有.
- 关于知识,实时识别/文档和纵向报告的数据在基线,6个月和12个月使用验证的秤和结构化访谈收集. 统计分析包括混合模型和Poisson回归.
主要成果:
- 培训显著提高了员工对RRA的知识 (p < 0.001).
- 该干预导致RRA实时识别和记录的统计学上显著增加 (p = 0.006),报告了92起事件,而通常护理组只有1起事件.
- 对RRA事件的纵向报告也显示了群体之间的显著差异 (p = 0.006).
结论:
- 培训干预有效地提高了工作人员在辅助生活设施中的RRA的知识,识别,记录和报告.
- 这些发现复制了在养老院环境中观察到的先前结果.
- 建议在长期护理设施中传播该计划,以提高居民安全和护理质量.
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