Raymond Mareeni, Warner Alex, Davies Nathan, Baishnab Elora, Manthorpe Jill, Iliffe Steve
University College London, UK.
Dementia (London). 2014 May;13(3):366-81. doi: 10.1177/1471301212474140. Epub 2013 Feb 7.
Dementia accounts for one in three deaths among people aged 65 and over, but end-of-life care for people with dementia is often sub-optimal. Palliative care for people with dementia poses particular challenges to those providing services, and current policy initiatives recommend education and training in palliative care for those working with patients with dementia. However, there are few evaluations of the effectiveness of dementia education and training. This paper presents a narrative review undertaken in 2011-2012 of evaluations of palliative care education for those working with people with dementia at the end of life. A total of eight papers were identified that described and evaluated such palliative care education; none reported benefits for people with dementia. There is a clear need to develop and evaluate educational interventions designed to improve palliative and end-of-life care for people with dementia. Some suggestions for educationally sound approaches are discussed.
在65岁及以上的人群中，三分之一的死亡由痴呆症导致，但痴呆症患者的临终护理往往不尽人意。为痴呆症患者提供姑息治疗给服务提供者带来了特殊挑战，当前的政策倡议建议对从事痴呆症患者护理工作的人员进行姑息治疗方面的教育和培训。然而，对痴呆症教育和培训效果的评估却很少。本文对2011 - 2012年期间针对临终痴呆症患者护理人员的姑息治疗教育评估进行了叙述性综述。总共确定了八篇描述和评估此类姑息治疗教育的论文；没有一篇报告对痴呆症患者有益。显然有必要开发和评估旨在改善痴呆症患者姑息治疗和临终护理的教育干预措施。文中讨论了一些关于合理教育方法的建议。
