Department of Psychology, Cleveland State University, Cleveland, OH 44115-2214, USA.
Gerontologist. 2011 Apr;51(2):261-72. doi: 10.1093/geront/gnq097. Epub 2011 Jan 17.
This article provides a detailed description of a telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features of PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association Chapters; (b) a multidimensional assessment and treatment approach, (c) ongoing monitoring and long-term relationships with families, and (d) a computerized information system to guide service delivery and fidelity monitoring.
Data illustrating the use of the intervention were displayed for 93 veterans and their caregivers after 12 months in PDC. Descriptive data were provided for each major component of the intervention protocol, including: initial assessment, goals, action steps, and on-going monitoring. Care coordinators completed a 12-item questionnaire ascertaining the acceptability and feasibility of implementing PDC.
Data from the assessments and goals indicated areas of need were not limited to any one issue or subset of issues, but were widely distributed across a variety of domains. Findings for action steps suggested a primary focus on getting/giving information and action-oriented tasks to access services and programs. Most action steps were assigned and completed by veteran's spouses and the majority were successfully accomplished. On average, families had two contacts per month with care coordinators. Few barriers were indicated by care coordinators in implementing PDC, highlighting the acceptability and feasibility of the PDC protocol.
PDC addressed the diverse needs of individuals with dementia and their caregivers, including important non-medical care issues, such as understanding VA benefits, accessing community resources, and addressing caregiver strain. PDC proved to be a feasible model that was complementary to the existing programs of the 2 partnering organizations.
本文详细介绍了一种基于电话的护理协调干预措施，即“痴呆症关爱伙伴”（PDC），用于患有痴呆症的退伍军人及其家庭照顾者。PDC 的主要特点包括：（a）退伍军人事务部（VA）医疗中心与阿尔茨海默氏症协会分会之间建立正式伙伴关系；（b）采用多维评估和治疗方法；（c）与家庭保持持续监测和长期关系；（d）使用计算机化信息系统指导服务提供和保真度监测。
在 PDC 接受 12 个月治疗后，为 93 名退伍军人及其照顾者展示了说明干预措施使用情况的数据。为干预协议的每个主要组成部分提供了描述性数据，包括：初始评估、目标、行动步骤和持续监测。护理协调员完成了一份包含 12 个问题的问卷，以确定实施 PDC 的可接受性和可行性。
评估和目标数据表明，需求领域不仅限于任何一个或一组问题，而是广泛分布在多个领域。行动步骤的结果表明，主要重点是获取/提供信息和面向行动的任务，以获取服务和计划。大多数行动步骤都由退伍军人的配偶分配和完成，并且大多数都成功完成。平均而言，家庭每月与护理协调员联系两次。护理协调员在实施 PDC 方面指出的障碍很少，突出了 PDC 协议的可接受性和可行性。
PDC 满足了痴呆症患者及其照顾者的各种需求，包括重要的非医疗护理问题，例如了解 VA 福利、获取社区资源和解决照顾者压力。PDC 被证明是一种可行的模式，与两个合作组织现有的项目相辅相成。
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