Department of Nursing, Yun-Ing Junior College of Health Care and Management, and Doctoral Candidate, College of Nursing, Kaohsiung Medical University
J Nurs Res. 2012 Sep;20(3):197-207. doi: 10.1097/jnr.0b013e318263d82e.
: The U.K. Department of Health recently proposed an international dementia strategy to enhance the quality of dementia care in acute hospital care settings. To implement such a strategy, it is necessary to first assess whether nurses have the knowledge and person-centered approach essential to enhancing hospital-based dementia care quality.
: The purpose of this study was to evaluate hospital nurse knowledge of and approach toward dementia care and to explore the relationship between nurse demographic characteristics and these two issues.
: We distributed a 16-item questionnaire on dementia care knowledge to 124 nurses at a teaching hospital in southern Taiwan. We also distributed to the same participants a 13-item questionnaire designed to assess the approach, either reality oriented or person centered, of participants in providing care to advanced dementia patients.
: The total mean score for participant dementia care knowledge was 10.8 (SD = 2.0). Results indicated that most nurses confused dementia with delirium. The advanced dementia care questionnaire suggested care tended to be reality oriented. Licensed registered nurses with more working experience had higher dementia care knowledge scores. Age and working experience both negatively correlated with a reality-oriented approach toward care.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: : Most participants had accurate dementia care knowledge and tended to use a reality-oriented approach. Nurse competency in differentiating delirium from dementia should be enhanced. This study provided initial insight into the dementia care situation at a single hospital in southern Taiwan. Future studies should further explore the relationship between dementia care quality and hospital nurses' knowledge and approaches, respectively.
英国卫生部最近提出了一项国际痴呆症战略，以提高急性医院环境中的痴呆症护理质量。为了实施这样一项战略，首先必须评估护士是否具备提高医院痴呆症护理质量所必需的知识和以患者为中心的方法。
本研究旨在评估医院护士对痴呆症护理的知识和方法，并探讨护士人口统计学特征与这两个问题之间的关系。
我们向台湾南部一所教学医院的 124 名护士分发了一份关于痴呆症护理知识的 16 项问卷。我们还向同一批参与者分发了一份 13 项的问卷，旨在评估参与者在为晚期痴呆症患者提供护理时的方法，即现实导向或以人为中心。
参与者的痴呆症护理知识总平均得分为 10.8（SD=2.0）。结果表明，大多数护士将痴呆症与谵妄混淆。高级痴呆症护理问卷表明护理倾向于现实导向。具有更多工作经验的注册护士具有更高的痴呆症护理知识得分。年龄和工作经验均与现实导向的护理方法呈负相关。
结论/对实践的影响：大多数参与者对痴呆症护理有准确的认识，并且倾向于使用现实导向的方法。护士区分谵妄和痴呆症的能力应得到加强。本研究初步了解了台湾南部一家医院的痴呆症护理情况。未来的研究应进一步探讨痴呆症护理质量与医院护士的知识和方法之间的关系。
