以个人为中心的风险评估框架：评估和管理老年痴呆症患者的风险
Person-centered risk assessment framework: assessing and managing risk in older adults living with dementia.
作者信息
Lee Linda, Hillier Loretta M, Lu Stephanie K, Martin Sharon Dillon, Pritchard Sarah, Janzen Jennifer, Slonim Karen
机构信息
Center for Family Medicine Family Health Team, McMaster University, 10 B Victoria Street South, Kitchener, Ontario N2G 1C5, Canada.
Faculty of Medicine, Department of Family Medicine, McMaster University, 10 B Victoria Street South, Kitchener, Ontario N2G 1C5, Canada.
出版信息
Neurodegener Dis Manag. 2019 Feb;9(1):47-57. doi: 10.2217/nmt-2018-0031. Epub 2019 Jan 14.
AIM
This study pilot-tested the person-centered risk assessment framework (PCRAF), a framework for managing risk among persons living with dementia (PLWD) in primary care.
METHODS
Healthcare providers (N = 7) piloting the PCRAF completed a survey, rating their satisfaction with the tool, and an interview to gather their perceptions of the PCRAF. PLWD and care partners (N = 12) completed a survey, rating their satisfaction with safety planning.
RESULTS
Care providers were very satisfied with the tool; however, patient or care partner inability to perceive or understand safety risks was a challenge. Use of the PCRAF was perceived as an opportunity to empower self-management, gather PLWD and care partner perspectives, reduce burden for care partners and increase understanding of potential risks. Patients and care partners were very satisfied with the way in which they were included in the risk discussion.
CONCLUSION
The PCRAF is a promising new tool to reduce risks associated with dementia.
目的
本研究对以患者为中心的风险评估框架（PCRAF）进行了试点测试，该框架用于在初级保健中管理痴呆症患者（PLWD）的风险。
方法
试用PCRAF的医疗服务提供者（N = 7）完成了一项调查，对他们对该工具的满意度进行评分，并进行了一次访谈以收集他们对PCRAF的看法。痴呆症患者及其护理伙伴（N = 12）完成了一项调查，对他们对安全规划的满意度进行评分。
结果
护理提供者对该工具非常满意；然而，患者或护理伙伴无法感知或理解安全风险是一个挑战。使用PCRAF被视为一个增强自我管理能力、收集痴呆症患者及其护理伙伴观点、减轻护理伙伴负担并增进对潜在风险理解的机会。患者和护理伙伴对他们参与风险讨论的方式非常满意。
结论
PCRAF是一种很有前景的新工具，可降低与痴呆症相关的风险。
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