适应远程医疗的痴呆症护理人员技能培训干预 (TeleCARE):单臂干预前后干预研究
Maureen K O'Connor1,2,3, Steven D Shirk3,4, Jaye E McLaren3
1Department of Neuropsychology, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.
JMIR aging
|March 12, 2026
概括
提供痴呆症护理人员支持的远程医疗 (TeleCARE) 是可行的和可接受的,需要技术援助. 这种干预措施有望减少神经精神症状和护理人员的痛苦,尽管长期影响需要进一步研究.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 痴呆症护理人员在家中管理神经精神症状 (NPS) 面临挑战,往往导致负面结果.
- 对照者来说,亲自干预可能很难参加,这凸显了需要可访问的替代方案的需要.
- 远程医疗干预提供了一个潜在的解决方案,以减少痴呆症护理人员的出勤障碍.
研究的目的:
- 评估通过远程医疗 (TeleCARE) 提供CARE干预的可行性和可接受性.
- 探索TeleCARE在护理人员和护理接收者的初步定量结果趋势和效果大小.
主要方法:
- 通过招聘,出席和完成率来评估可行性;通过满意度评级来接受性.
- 收集关于技术使用和远程医疗适应的数据.
- 在基线,干预后和3个月后进行的调查问卷,以测量NPS严重程度,护理人员痛苦,抑郁,焦虑,压力,自我有效性和其他结果.
主要成果:
- 24%的接触护理人员被录取,其中83%完成了研究;主要是女性配偶.
- 参与者的反导致了修改,包括安全,关系,礼仪和隐私程序.
- 量化趋势显示,干预后的NPS严重程度下降,照顾者抑郁,焦虑,自我效能和照顾者的积极方面增加,尽管在3个月内没有持续.
结论:
- 电话护理是对痴呆症护理人员的可行和可接受的试点干预.
- 远程医疗提供需要对老年人进行修改和技术支持.
- 研究结果支持远程医疗作为提供护理人员支持服务的可行方法.
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