医院痴呆症服务项目：新南威尔士州医院的老年护理和痴呆症服务

Hospital Dementia Services Project: aged care and dementia services in New South Wales hospitals.

作者信息

Draper Brian, Hudson Charles, Peut Ann, Karmel Rosemary, Chan Natalie, Gibson Diane

机构信息

School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.

出版信息

Australas J Ageing. 2014 Dec;33(4):237-43. doi: 10.1111/ajag.12042. Epub 2013 Jun 5.

DOI:10.1111/ajag.12042

PMID:24521258

Abstract

AIMS

To describe the availability of aged care and dementia services in public hospitals in New South Wales (NSW), Australia in 2006/2007.

METHOD

Hospitals were surveyed about issues relevant to dementia in acute care including the types of aged care wards and staff, policies, practices, clinics, community services and resources for dementia care.

RESULTS

Responses were obtained from 163 hospitals (82%); responding hospitals represented 93.4% of NSW hospital beds, 96.7% of multiday episodes of care. Hospitals that had a Specialist Mental Health Service for Older People (SMHSOP) and an Aged Care Service (ACS) had the highest levels of dementia-related services and policies. Few hospitals without ACS or SMHSOP had clinics for dementia assessment, secure beds for disturbed behaviour, or services to manage patients with dementia and medical or behavioural comorbidity in the community.

CONCLUSION

Dementia services in NSW hospitals are closely aligned with ACS and SMHSOP, with limited dementia services in hospitals without ACS or SMHSOP.

摘要

目的

描述2006/2007年澳大利亚新南威尔士州公立医院老年护理和痴呆症服务的可及性。

方法

对医院进行了关于急性护理中与痴呆症相关问题的调查，包括老年护理病房类型、工作人员、政策、实践、诊所、社区服务以及痴呆症护理资源。

结果

163家医院（82%）做出了回应；做出回应的医院占新南威尔士州医院床位的93.4%，占多日护理病例的96.7%。设有老年人专科心理健康服务（SMHSOP）和老年护理服务（ACS）的医院拥有最高水平的痴呆症相关服务和政策。很少有无ACS或SMHSOP的医院设有痴呆症评估诊所、用于处理行为紊乱的安全床位，或在社区管理患有痴呆症及伴有医疗或行为合并症患者的服务。