Tropical Health Research Unit, The Townsville Hospital and Health Service, The Townsville Hospital, QLD, Australia.
BMC Geriatr. 2013 Jan 2;13:2. doi: 10.1186/1471-2318-13-2.
Continued aging of the population is expected to be accompanied by substantial increases in the number of people with dementia and in the number of health care staff required to care for them. Adequate knowledge about dementia among health care staff is important to the quality of care delivered to this vulnerable population. The purpose of this study was to assess knowledge about dementia across a range of health care staff in a regional health service district.
Knowledge levels were investigated via the validated 30-item Alzheimer's Disease Knowledge Scale (ADKS). All health service district staff with e-mail access were invited to participate in an online survey. Knowledge levels were compared across demographic categories, professional groups, and by whether the respondent had any professional or personal experience caring for someone with dementia. The effect of dementia-specific training or education on knowledge level was also evaluated.
A diverse staff group (N = 360), in terms of age, professional group (nursing, medicine, allied health, support staff) and work setting from a regional health service in Queensland, Australia responded. Overall knowledge about Alzheimer's disease was of a generally moderate level with significant differences being observed by professional group and whether the respondent had any professional or personal experience caring for someone with dementia. Knowledge was lower for some of the specific content domains of the ADKS, especially those that were more medically-oriented, such as 'risk factors' and 'course of the disease.' Knowledge was higher for those who had experienced dementia-specific training, such as attendance at a series of relevant workshops.
Specific deficits in dementia knowledge were identified among Australian health care staff, and the results suggest dementia-specific training might improve knowledge. As one piece of an overall plan to improve health care delivery to people with dementia, this research supports the role of introducing systematic dementia-specific education or training.
随着人口老龄化的持续,预计痴呆症患者的数量以及照顾他们所需的医护人员数量将大幅增加。医护人员对痴呆症的充分了解对于为这一弱势群体提供的护理质量至关重要。本研究旨在评估一个地区卫生服务部门内各类医护人员对痴呆症的认知程度。
通过经过验证的 30 项阿尔茨海默病知识量表(ADKS)来评估知识水平。邀请所有有电子邮件访问权限的卫生服务部门员工参与在线调查。根据人口统计学类别、专业群体以及受访者是否有照顾痴呆症患者的专业或个人经验,比较知识水平。还评估了痴呆症专项培训或教育对知识水平的影响。
来自澳大利亚昆士兰州一个地区卫生服务机构的具有不同年龄、专业群体(护理、医学、联合健康、支持人员)和工作环境的多样化员工群体(N=360)做出了回应。总体而言,对阿尔茨海默病的了解处于中等水平,但专业群体和受访者是否有照顾痴呆症患者的专业或个人经验存在显著差异。在 ADKS 的一些特定内容领域,知识水平较低,尤其是那些更具医学倾向的领域,如“风险因素”和“疾病进程”。对于那些参加过特定于痴呆症的培训的人,如参加了一系列相关研讨会,知识水平更高。
澳大利亚医护人员对痴呆症的知识存在特定的不足,结果表明特定于痴呆症的培训可能会提高知识水平。作为改善痴呆症患者医疗服务的整体计划的一部分,这项研究支持引入系统的特定于痴呆症的教育或培训的作用。