Scott & White Healthcare, 2401 S. 31st St, MS-01-501, Temple, TX 76508 USA ; The Texas A&M University Health Science Center, Temple, TX 76508 USA.
Transl Behav Med. 2012 Jun;2(2):218-27. doi: 10.1007/s13142-012-0132-9.
The complexity of dementia care combined with the lack of care experience and external support systems creates unique burdens for the caregiver. This article describes the initial findings from the Scott & White Family Caregiver Program (FCP), the Resources for Enhancing Alzheimer's Caregiver Health (REACH II) intervention adapted for a healthcare setting. The FCP targeted one large hospital and one large ambulatory internal medicine primary care clinic within the Scott & White system. The 6-month program provided support and skills training tailored to the specific needs of caregivers based on their level of risk. At follow-up, the overall risk score, caregiver burden, and patient problem behaviors were significantly decreased and care recipient safety significantly increased. All caregivers reported that the information provided was helpful. This model successfully translated REACH II into an integrated healthcare setting and significantly reduced risks associated with dementia caregiving.
痴呆症护理的复杂性，加上缺乏护理经验和外部支持系统，给护理人员带来了独特的负担。本文介绍了斯科特和怀特家庭护理计划（FCP）的初步结果，该计划是为医疗保健环境改编的增强阿尔茨海默病护理人员健康资源（REACH II）干预措施。FCP 针对斯科特和怀特系统内的一家大型医院和一家大型门诊内科初级保健诊所。该 6 个月的计划根据护理人员的风险水平，为他们提供了针对特定需求的支持和技能培训。在随访时，总体风险评分、护理人员负担和患者问题行为显著降低，护理对象的安全性显著提高。所有护理人员都报告说提供的信息很有帮助。这种模式成功地将 REACH II 转化为一个综合的医疗保健环境，并显著降低了与痴呆症护理相关的风险。
