Gerolimatos Lindsay A, Page Kyle S, Balestracci Phyllis, Hinrichs Kate L M
Washington DC VA Medical Center, Washington, DC.
VA Central Iowa Healthcare System, Des Moines, IA.
Geriatr Nurs. 2018 Jul-Aug;39(4):400-406. doi: 10.1016/j.gerinurse.2017.12.012. Epub 2018 Jan 11.
This pilot study investigates the usefulness of a dementia care training program developed by an interdisciplinary team to address problem behaviors associated with dementia. Staff members of a VA Community Living Center completed an 8-hour workshop covering fundamental knowledge about dementia and instruction in skills to use with patients through video, lecture, and role-plays. Measures on dementia knowledge and perceived self-efficacy were completed by staff members before and after the workshop. Results revealed increases in self-efficacy and knowledge, with particular gains in general knowledge of dementia and communicating with patients. Younger staff members scored higher on tests of knowledge at pre- and post-test, whereas staff members with more years of work experience rated their self-efficacy higher at post-test only. There was an associated decrease in assaultive behaviors by patients with dementia in the year this workshop was implemented. Results highlight the benefit of interdisciplinary collaboration in developing educational content and the value of providing staff training on managing dementia-related behaviors. Adjustments to this training program are discussed.
这项试点研究调查了一个由跨学科团队开发的痴呆症护理培训项目在解决与痴呆症相关的问题行为方面的效用。一家退伍军人事务部社区生活中心的工作人员参加了一个为期8小时的研讨会,内容涵盖痴呆症的基础知识以及通过视频、讲座和角色扮演等方式教授与患者相处的技巧。工作人员在研讨会前后完成了关于痴呆症知识和自我效能感的测评。结果显示自我效能感和知识水平有所提高,尤其是在痴呆症的一般知识以及与患者沟通方面有显著提升。年轻工作人员在前后测的知识测试中得分更高,而工作年限较长的工作人员仅在会后对自我效能感的评分更高。在实施该研讨会的这一年里,患有痴呆症的患者的攻击性行为有所减少。结果突出了跨学科合作在开发教育内容方面的益处以及提供员工管理痴呆症相关行为培训的价值。文中还讨论了对该培训项目的调整。