Roberts Gail, Morley Catherine, Walters Wendy, Malta Sue, Doyle Colleen
National Ageing Research Institute, P.O. Box 2127, Royal Melbourne Hospital, Victoria 3050, Australia.
Rural Northwest Health, Victoria 3393, Australia.
Geriatr Nurs. 2015 Mar-Apr;36(2):106-10. doi: 10.1016/j.gerinurse.2014.11.003. Epub 2014 Dec 12.
Person-centered models of dementia care commonly merge aspects of existing models with additional influences from published and unpublished evidence and existing government policy. This study reports on the development and evaluation of one such composite model of person-centered dementia care, the ABLE model. The model was based on building the capacity and ability of residents living with dementia, using environmental changes, staff education and organizational and community engagement. Montessori principles were also used. The evaluation of the model employed mixed methods. Significant behavior changes were evident among residents of the dementia care Unit after the model was introduced, as were reductions in anti-psychotic and sedative medication. Staff reported increased knowledge about meeting the needs of people with dementia, and experienced organizational culture change that supported the ABLE model of care. Families were very satisfied with the changes.
以患者为中心的痴呆症护理模式通常将现有模式的各个方面与已发表和未发表的证据以及现行政府政策所带来的额外影响相结合。本研究报告了一种这样的以患者为中心的痴呆症护理综合模式——ABLE模式的开发与评估情况。该模式基于利用环境改变、员工培训以及组织和社区参与，来培养痴呆症患者的能力。同时也运用了蒙台梭利教育法的原则。对该模式的评估采用了混合研究方法。引入该模式后，痴呆症护理单元的患者出现了显著的行为变化，抗精神病药物和镇静药物的使用量也有所减少。员工表示他们在满足痴呆症患者需求方面的知识有所增加，并且体验到了支持ABLE护理模式的组织文化变革。患者家属对这些变化非常满意。
