de Jong Catharina C, Ros Wynand J G, van Leeuwen Mia, Witkamp Leonard, Schrijvers Guus
Author Affiliations: Julius Centre for Health Sciences Primary Care, University Medical Centre Utrecht (Ms de Jong and Drs Ros and Schrijvers); Foundation of Integrated Care, The Hague (Dr van Leeuwen); and Academic Medical Centre, Medical Informatics, Amsterdam (Dr Witkamp), the Netherlands.
Comput Inform Nurs. 2018 Apr;36(4):193-198. doi: 10.1097/CIN.0000000000000414.
In this descriptive study, the use of a professional e-communication tool, Congredi, is evaluated. Ninety-six Congredi records of patients with dementia could be divided into the subgroups low-complex care (n = 43) and high-complex care (n = 53). If Congredi is an adequate communication tool for professionals, the changing involvement of caregivers must also be reflected within the two subgroups. We hypothesized that use would be more intensive in the high-complex group in comparison with the low-complex group. Data were gathered during 42 weeks. Results showed that the mean number of care activities in the high-complex group was significantly higher than in the low-complex group (10.43 vs 5.61, P = .001). The number of professionals involved with the high-complex care group (3.58) was higher compared to the low-complex care group (2.51) (P = .000). The most frequent use was by case managers and nurses (43.4%) in the high-complex group and by several case managers (41.9%) in the low-complex group. It was concluded that professionals used Congredi adequately in the multidisciplinary care of patients with dementia because the changing involvement of caregivers and the level of care activities were reflected in the use of Congredi.
在这项描述性研究中,对一种专业电子通讯工具Congredi的使用情况进行了评估。96份痴呆患者的Congredi记录可分为低复杂护理亚组(n = 43)和高复杂护理亚组(n = 53)。如果Congredi是适合专业人员使用的通讯工具,那么两个亚组中护理人员参与度的变化也必须在其中得到体现。我们假设,与低复杂组相比,高复杂组对该工具的使用会更频繁。数据收集期为42周。结果显示,高复杂组的护理活动平均次数显著高于低复杂组(10.43对5.61,P = .001)。参与高复杂护理组的专业人员数量(3.58)高于低复杂护理组(2.51)(P = .000)。高复杂组中使用最频繁的是个案管理员和护士(43.4%),低复杂组中则是几位个案管理员(41.9%)。研究得出结论,专业人员在痴呆患者的多学科护理中充分使用了Congredi,因为护理人员参与度的变化和护理活动水平在Congredi的使用中得到了体现。