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一项针对痴呆症护理人员的培训项目的成本效益

Cost effectiveness of a training program for dementia carers.

作者信息

Brodaty H, Peters K E

机构信息

Memory Disorders Clinic, Prince Henry Hospital, Sydney, Australia.

出版信息

Int Psychogeriatr. 1991 Spring;3(1):11-22. doi: 10.1017/s1041610291000479.

Abstract

An intensive 10-day residential training program for dementia carers has previously been shown to be associated with increased patient survival at home and decreased psychological morbidity in carers (Brodaty & Gresham, 1989). Results from a further follow-up, about 39 months after entry into the trial, were even more impressive. Patients whose carers had trained in the program had much higher adjusted rates of survival at home (53% versus 13%) and, unexpectedly, fewer deaths (20% versus 41%) than those whose carers did not have training. Patients whose carers had delayed training achieved intermediate results (31% surviving at home and 21% dying). These results were achieved with an average saving of $A7,967 ($U.S.5975) per patient over the first 39 months.

摘要

先前已有研究表明,为痴呆症患者护理人员开展的为期10天的强化住宿培训项目,与患者在家中存活时间延长以及护理人员心理发病率降低有关(布罗达蒂和格雷沙姆,1989年)。在进入试验约39个月后的进一步随访结果更令人印象深刻。与护理人员未接受培训的患者相比,其护理人员参加过该培训项目的患者在家中的调整后存活率要高得多(分别为53%和13%),而且意外的是,死亡人数更少(分别为20%和41%)。护理人员延迟接受培训的患者则取得了中等结果(31%在家中存活,21%死亡)。在最初的39个月里,每位患者平均节省了7967澳元(5975美元)。

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