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基于以人为本的护理和痴呆症护理图谱的护理人员培训及其对痴呆症养老院居民生活质量的影响。

Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia.

作者信息

Yasuda Mami, Sakakibara Hisataka

机构信息

a Department of Nursing , Nagoya University Graduate School of Medicine , Nagoya , Japan.

出版信息

Aging Ment Health. 2017 Sep;21(9):991-996. doi: 10.1080/13607863.2016.1191056. Epub 2016 Jun 1.

Abstract

OBJECTIVES

To assess the effects of care staff training based on person-centered care (PCC) and dementia care mapping (DCM) on the quality of life (QOL) of residents with dementia in a nursing home.

METHODS

An intervention of staff training based on PCC and DCM was conducted with 40 care staff members at a geriatric nursing home. The effects of the staff training on the QOL of residents with dementia were evaluated by the DCM measurements of 40 residents with dementia three times at about one-month intervals (first, baseline; second, pre-intervention; third, post-intervention).

RESULTS

The well-being and ill-being values (WIB values) of the residents with dementia measured by DCM were not different between the first and second rounds before the staff training (p = 0.211). Meanwhile, the WIB values increased from the first and second rounds to the third post-intervention round (p = 0.035 and p < 0.001, respectively); over 50% of the residents had better WIB values. The behavior category 'interactions with others' in DCM also demonstrated a significant increase in the third round compared to the first round (p = 0.041).

CONCLUSION

Staff training based on PCC and DCM could effectively improve the QOL of residents with dementia.

摘要

目的

评估基于以人为本的护理(PCC)和痴呆症护理图谱(DCM)的护理人员培训对养老院痴呆症患者生活质量(QOL)的影响。

方法

对一家老年护理院的40名护理人员进行了基于PCC和DCM的员工培训干预。通过对40名痴呆症患者大约每隔一个月进行三次DCM测量(第一次,基线;第二次,干预前;第三次,干预后)来评估员工培训对痴呆症患者生活质量的影响。

结果

在员工培训前,第一轮和第二轮通过DCM测量的痴呆症患者的幸福与不幸福值(WIB值)没有差异(p = 0.211)。同时,WIB值从第一轮和第二轮增加到干预后的第三轮(分别为p = 0.035和p < 0.001);超过50%的患者有更好的WIB值。DCM中的行为类别“与他人互动”在第三轮与第一轮相比也有显著增加(p = 0.041)。

结论

基于PCC和DCM的员工培训可以有效提高痴呆症患者的生活质量。

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