School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Am J Alzheimers Dis Other Demen. 2010 May;25(3):248-54. doi: 10.1177/1533317509357734. Epub 2010 Feb 10.
Research suggests that caregivers appreciate support from primary care physicians (PCPs) regarding dementia care; however, there remains a need for studies examining the role that PCPs play in behavior management. The purpose of this study was to quantitatively characterize the discussion on dementia-related behaviors (DRBs) during PCP visits and compare findings to an independently administered assessment of DRBs exhibited within a period of 4 weeks prior to the PCP visit. Twenty-five PCP visits of persons with dementia, in which caregivers coattended the visit, were audio-recorded and analyzed for occurrence of DRB discussion. Disruptive behaviors were reported by 80% of caregivers via independent assessment, yet discussed in 23% of medical visits. Dementia-related behavior discussion occurred in visits where caregivers independently reported significantly higher behavior frequency and behavior-related burden. Implications of findings for ways PCPs can assist the caregiver in behavior management are discussed.
研究表明，护理人员希望初级保健医生（PCP）在痴呆症护理方面提供支持；然而，仍需要研究 PCP 在行为管理中所扮演的角色。本研究的目的是定量描述 PCP 就诊期间与痴呆相关行为（DRB）的讨论，并将研究结果与在 PCP 就诊前 4 周内进行的 DRB 独立评估结果进行比较。对 25 名患有痴呆症的患者及其护理人员共同就诊的 PCP 就诊进行了音频记录，并对 DRB 讨论的发生情况进行了分析。通过独立评估，80%的护理人员报告了有破坏性行为，但在 23%的就诊中进行了讨论。在护理人员独立报告行为频率和行为相关负担明显更高的就诊中，发生了与痴呆相关的行为讨论。讨论了 PCP 帮助护理人员进行行为管理的方法对研究结果的影响。
