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DESKK 研究——开发和测试一种针对痴呆症的暂息护理概念,该概念包含一项移动和咨询计划:研究方案。

DESKK Study - Development and testing of a dementia-specific respite care concept with a mobility and counselling programme: study protocol.

机构信息

German Center for Neurodegenerative Diseases, Witten site, Germany.

FHS St. Gallen - University of Applied Science, Institute of Applied Nursing Science, Switzerland.

出版信息

BMJ Open. 2019 Jun 14;9(6):e025932. doi: 10.1136/bmjopen-2018-025932.

Abstract

INTRODUCTION

Specific mobility programmes can delay functional decline in people with dementia (PwD). Family caregivers (FCs) can be relieved from care-related burden by counselling services. Respite care is a short-term inpatient care service (1-8 weeks of stay). Respite care centres (RCCs) can function as support structures for dementia care arrangements through caring-based mobility training of PwD and counselling sessions for their FCs. However, no systematic mobility or counselling programmes exist in this setting in Germany or the rest of the world. The aim of the development and testing of a dementia-specific respite care concept (DESKK) study is the development and testing of an evidence-based mobility and counselling programme for PwD and their FCs that is suitable for the respite care setting.

METHODS AND ANALYSIS

A pilot-based, quasi-experimental evaluation study will be conducted in a specialised RCC for PwD. To evaluate the acceptance and usability of the development and testing of a DESKK concept, qualitative data will be collected from the RCC staff and FCs via semistandardised interviews. Quantitative data will be collected using instruments to assess effect tendencies of the concept related to mobility (PwD) and burden (FCs). Furthermore, a mixed-methods triangulation approach will be conducted.

ETHICS AND DISSEMINATION

The protocol, informed consent and accompanying material given to patients were submitted by the investigator to the Ethical Review Committee of the German Society of Nursing Science. The project was examined and finally approved on 31 January 2017 (Number: 16-27). Prior to obtaining written consent for study participation, information must be given to all of the study participants in verbal and written form. The results of the study will be presented at national and international conferences and published in peer-reviewed journals. After the concept is finalised, a practice-friendly manual will be developed in which implementation components are described for other RCCs.

TRIAL REGISTRATION NUMBER

NCT03578861.

摘要

简介

特定的活动方案可以延缓痴呆症患者(PwD)的功能下降。咨询服务可以减轻家庭照顾者(FCs)的照顾负担。临时护理是一种短期住院护理服务(1-8 周的住宿)。临时护理中心(RCC)可以通过为 PwD 提供基于关怀的活动训练和为其 FC 提供咨询会议,为痴呆症护理安排提供支持结构。然而,在德国或世界其他地区,这种环境中没有专门针对痴呆症的临时护理概念的系统活动或咨询方案。开发和测试特定于痴呆症的临时护理概念(DESKK)研究的目的是为 PwD 和其 FC 开发和测试一种基于证据的活动和咨询方案,该方案适合临时护理环境。

方法和分析

将在专门的 PwD 临时护理中心进行基于试点的准实验评估研究。为了评估开发和测试 DESKK 概念的接受度和可用性,将通过半标准化访谈从 RCC 工作人员和 FCs 收集定性数据。使用评估与活动相关的概念的趋势的工具(PwD)和负担(FCs),将收集定量数据。此外,还将采用混合方法三角测量方法。

伦理和传播

研究方案、知情同意书和随附材料已由研究者提交给德国护理科学学会伦理审查委员会。该项目于 2017 年 1 月 31 日进行了审查并最终获得批准(编号:16-27)。在获得书面同意参加研究之前,必须以口头和书面形式向所有研究参与者提供信息。研究结果将在国家和国际会议上展示,并发表在同行评议的期刊上。在概念最终确定后,将开发一个便于实践的手册,其中描述了其他 RCC 的实施组件。

试验注册编号

NCT03578861。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0624/6588967/e64c1d23e128/bmjopen-2018-025932f01.jpg

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