痴呆症关爱映射对智障老年人福祉和生活质量的影响：一项准实验研究。
Effects of Dementia Care Mapping on well-being and quality of life of older people with intellectual disability: A quasi-experimental study.
机构信息
Research Group Living, Wellbeing and Care for Older People, NHL University of Applied Sciences, Leeuwarden, The Netherlands.
Department of Health Sciences, Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
出版信息
J Appl Res Intellect Disabil. 2019 Jul;32(4):849-860. doi: 10.1111/jar.12576. Epub 2019 Mar 13.
BACKGROUND
The ageing of people with intellectual disability, accompanied with consequences like dementia, challenges intellectual disability-care staff and creates a need for supporting methods, with Dementia Care Mapping (DCM) as a promising possibility. This study examined the effect of DCM on the quality of life of older people with intellectual disability.
METHODS
We performed a quasi-experimental study in 23 group homes for older people with intellectual disability in the Netherlands, comparing DCM (n = 113) with care-as-usual (CAU; n = 111). Using three measures, we assessed the staff-reported quality of life of older people with intellectual disability.
RESULTS
DCM achieved no significantly better or worse quality of life than CAU. Effect sizes varied from 0.01 to -0.22. Adjustments for covariates and restriction of analyses to people with dementia yielded similar results.
CONCLUSION
The finding that DCM does not increase quality of life of older people with intellectual disability contradicts previous findings and deserves further study.
背景
智力障碍者的老龄化，伴随着痴呆等后果，给智力障碍护理人员带来了挑战，需要支持方法，而痴呆关怀映射（DCM）是一种有前途的可能性。本研究考察了 DCM 对智力障碍老年人生活质量的影响。
方法
我们在荷兰的 23 个老年人智力障碍群体家中进行了一项准实验研究，将 DCM（n=113）与常规护理（CAU；n=111）进行比较。我们使用三种方法评估了工作人员报告的智力障碍老年人的生活质量。
结果
DCM 并未实现比 CAU 更好或更差的生活质量。效应大小从 0.01 到-0.22 不等。对协变量进行调整以及将分析限制在痴呆患者中，得出了类似的结果。
结论
DCM 并未提高智力障碍老年人的生活质量，这与之前的研究结果相悖，值得进一步研究。
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