Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands; Department of Nursing, White Yellow Cross Limburg, Genk, Belgium.
Geriatr Nurs. 2020 Sep-Oct;41(5):536-543. doi: 10.1016/j.gerinurse.2020.02.001. Epub 2020 Mar 2.
Sometimes care is provided to a cognitively impaired person against the person's will, referred to as involuntary treatment. We developed the PRITAH intervention, aimed at prevention and reduction of involuntary treatment at home. PRITAH consists of a policy discouraging involuntary treatment, workshops, coaching by a specialized nurse and alternative interventions. A feasibility study was conducted including 30 professional caregivers. Feasibility was assessed by attendance lists (reach), a logbook (dose delivered and fidelity), evaluation questionnaires and focus group interviews (dose received, satisfaction & barriers). The workshops and coach were positively evaluated and the average attendance rate was 73%. Participants gained more awareness and knowledge and received practical tips and advice to prevent involuntary treatment. Implementation of the intervention was feasible with minor deviations from protocol. Recommendations for improvement included more emphasis on involvement of family caregivers and general practitioners and development of an extensive guideline to comply with the policy.
有时会违背认知障碍者的意愿为其提供护理，这种护理被称为非自愿治疗。我们开发了 PRITAH 干预措施，旨在预防和减少家庭中的非自愿治疗。PRITAH 包括一项不鼓励非自愿治疗的政策、研讨会、由专业护士提供的指导以及替代干预措施。我们进行了一项可行性研究，纳入了 30 名专业护理人员。通过出席名单（覆盖范围）、日志（提供的剂量和保真度）、评估问卷和焦点小组访谈（接受的剂量、满意度和障碍）来评估可行性。研讨会和指导受到了积极评价，平均出席率为 73%。参与者提高了意识和知识水平，并获得了预防非自愿治疗的实用技巧和建议。该干预措施的实施是可行的，仅存在一些偏离方案的小偏差。改进建议包括更加重视家庭护理人员和全科医生的参与，并制定广泛的指南以遵守该政策。
