痴呆症护理映射对照顾智障老年人的工作人员的工作满意度和护理技能的影响：一项准实验研究。
Effects of Dementia Care Mapping on job satisfaction and caring skills of staff caring for older people with intellectual disabilities: 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 Sep;32(5):1228-1240. doi: 10.1111/jar.12615. Epub 2019 May 13.
BACKGROUND
The ageing of people with intellectual disabilities, involving consequences like dementia, creates a need for methods to support care staff. One promising method is Dementia Care Mapping (DCM). This study examined the effect of DCM on job satisfaction and care skills of ID-care staff.
METHODS
We performed a quasi-experimental study in 23 group homes for older people with intellectual disabilities in the Netherlands. Among staff, we assessed job satisfaction and care skills as primary outcomes and work experience measures as secondary outcomes (N = 227).
RESULTS
Dementia Care Mapping achieved no significantly better effect than care as usual (CAU) for primary outcomes on job satisfaction (MWSS-HC) and working skills (P-CAT). Effect sizes varied from -0.18 to -0.66. We also found no differences for any of the secondary outcomes.
CONCLUSION
Dementia Care Mapping does not increase job satisfaction and care skills of staff caring for older people with intellectual disabilities. This result differs from previous findings and deserves further study.
背景
智障人士的老龄化，涉及痴呆等后果，因此需要寻找方法来支持护理人员。一种有前途的方法是痴呆症护理映射（Dementia Care Mapping，DCM）。本研究考察了 DCM 对智障人士护理人员工作满意度和护理技能的影响。
方法
我们在荷兰的 23 家为智障老年人提供的集体住宅中进行了一项准实验研究。在工作人员中，我们评估了工作满意度和护理技能作为主要结果，以及工作经验测量作为次要结果（N=227）。
结果
与常规护理（CAU）相比，痴呆症护理映射在工作满意度（MWSS-HC）和工作技能（P-CAT）方面对初级结果没有显著更好的效果。效应大小从-0.18 到-0.66。我们也没有发现任何次要结果的差异。
结论
痴呆症护理映射并不能提高照顾智障老年人的工作人员的工作满意度和护理技能。这一结果与之前的研究结果不同，值得进一步研究。
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