Fallahpour Mandana, Borell Lena, Sandberg Linda, Boström Anne-Marie
Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
J Multidiscip Healthc. 2020 Jan 23;13:85-97. doi: 10.2147/JMDH.S214378. eCollection 2020.
An increasing number of older persons live at home with various limitations, such as dementia, requiring well-educated and trained home care staff to meet their complex care needs. Dementia care specialists working in home care service have reported high levels of job strain in comparison with home care staff in general.
This pilot study aims to evaluate the effects of a dementia care education model targeting self-reported job strain and organizational climate, among dementia care specialists in home care service.
A quasi-experimental, one-group pretest-posttest design was applied, with 12 months' follow-up. Participants were dementia care specialists who worked in home care service (n=34 baseline; n=30 follow-up). The data were collected using the Strain in Dementia Care Scale and Creative Climate Questionnaires, administered pre- and post-intervention. The intervention applied an educational model based on previous research in dementia care and a person-centered approach.
The educational model was implemented in the context of home care services. Of 34 participants at baseline, only 21 responded to the questionnaires, due to a drop off of 13 participants and recruitment of 9 new participants (follow-up=30). A significantly reduced perceived job strain among the participants was detected, indicating perceiving less difficulty in "Balancing competing needs" when caring for the older persons. No significant difference was found in the self-reported creative organizational climate between the two occasions.
The educational model could be integrated into dementia home care and it seemed to reduce job strain among dementia care specialists. Future studies are needed to evaluate the effects of the intervention using a stronger study design and a larger sample.
越来越多的老年人在家中生活，存在各种限制，如痴呆症，这需要受过良好教育和培训的家庭护理人员来满足他们复杂的护理需求。与一般家庭护理人员相比，从事家庭护理服务的痴呆症护理专家报告称工作压力水平较高。
这项试点研究旨在评估一种针对自我报告的工作压力和组织氛围的痴呆症护理教育模式对家庭护理服务中的痴呆症护理专家的影响。
采用准实验性的单组前后测设计，并进行12个月的随访。参与者为从事家庭护理服务的痴呆症护理专家（基线时n = 34；随访时n = 30）。在干预前后使用痴呆症护理压力量表和创新氛围问卷收集数据。该干预采用了基于先前痴呆症护理研究和以人为本方法的教育模式。
该教育模式在家庭护理服务背景下实施。在基线时的34名参与者中，由于13名参与者退出和9名新参与者加入（随访时 = 30），只有21人回复了问卷。检测到参与者的感知工作压力显著降低，表明在照顾老年人时在“平衡相互竞争的需求”方面感知到的困难减少。两次自我报告的创新组织氛围之间未发现显著差异。
该教育模式可纳入痴呆症家庭护理，似乎能减轻痴呆症护理专家的工作压力。未来需要使用更强有力的研究设计和更大的样本评估该干预的效果。
