Nakanishi Miharu, Miyamoto Yuki, Long Carol O, Arcand Marcel
Chief Researcher, Tokyo Metropolitan Institute of Medical Science, Japan.
Lecturer, Department of Psychiatric Nursing, Graduate School of Nursing, University of Tokyo, Japan.
Int J Palliat Nurs. 2015 Aug;21(8):385-91. doi: 10.12968/ijpn.2015.21.8.385.
A Canadian guide for nursing home staff on comfort care for dementia has been translated and adapted for use in Japan. The present study piloted educational intervention for nursing home staff using the Japanese comfort care booklet.
Some 61 nursing home staff (nurses and other care workers) completed a session that included pre-assessment, a 30-minute seminar using the comfort care booklet, post-assessment, and a one-hour debriefing meeting. A Japanese version of the questionnaire on palliative care for advanced dementia (qPAD) scale was used to assess knowledge and attitudes toward palliative care for advanced dementia.
The participants demonstrated a significant increase in knowledge (mean score, 14.3 to 15.1/23, t (60) = 2.35, p=0.011) and attitudes (43.8 to 45.2/60, t (60) = 2.51, p = 0.015) toward palliative care for advanced dementia from pre-assessment to post-assessment.
The educational intervention using the Japanese comfort care booklet may have improved nursing home staff's perspectives on palliative care for advanced dementia.
一本供加拿大养老院工作人员使用的痴呆症舒适护理指南已被翻译并改编以供日本使用。本研究对使用日本舒适护理手册对养老院工作人员进行教育干预进行了试点。
约61名养老院工作人员（护士和其他护理人员）参加了一个环节，包括预评估、使用舒适护理手册进行的30分钟研讨会、后评估以及一小时的汇报会。使用日本版晚期痴呆症姑息治疗问卷（qPAD）量表来评估对晚期痴呆症姑息治疗的知识和态度。
从预评估到后评估，参与者对晚期痴呆症姑息治疗的知识（平均得分，从14.3分提高到15.1分/23分，t(60)=2.35，p=0.011）和态度（从43.8分提高到45.2分/60分，t(60)=2.51，p = 0.015）有显著提高。
使用日本舒适护理手册进行的教育干预可能改善了养老院工作人员对晚期痴呆症姑息治疗的看法。
