Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, United States.
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, United States; Integrated Memory Care Clinic, Emory Healthcare, Atlanta, GA 30329, United States; Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA 30329, United States.
Geriatr Nurs. 2020 Nov-Dec;41(6):761-768. doi: 10.1016/j.gerinurse.2020.05.006. Epub 2020 Jun 5.
The purpose of this longitudinal cohort study was to explore the outcomes of persons living with dementia (PLWD) and their caregivers during their first 9 months at the Integrated Memory Care Clinic (IMCC). IMCC advanced practice registered nurses provide dementia care and primary care simultaneously and continuously to PLWD until institutionalization. Changes were examined in caregivers' psychological well-being (perceived stress, depressive symptoms, caregiver burden, and anxiety) and health status and in PLWDs' quality of life and neuropsychiatric symptoms. Data were collected at baseline, then 3 and 6 months post-baseline. Forty-two caregivers completed all 3 assessments. Most variables remained unchanged. Statistically significant improvements in 5 sub-scales of the Neuropsychiatric Inventory were observed: caregivers' distress regarding their PLWDs' delusions and anxiety, and PLWDs' severity of delusions, depression, and total symptom severity. Further testing of the IMCC is required, including in quasi-experimental studies, to determine its efficacy.
本纵向队列研究的目的是探讨在综合记忆护理诊所（IMCC）的头 9 个月中，痴呆患者（PLWD）及其护理人员的结局。IMCC 的执业注册护士同时且持续地为 PLWD 提供痴呆护理和初级保健，直至其被收容入院。研究检查了护理人员的心理健康状况（压力感、抑郁症状、照顾者负担和焦虑）和健康状况，以及 PLWD 的生活质量和神经精神症状的变化。数据在基线时收集，然后在基线后 3 个月和 6 个月进行收集。42 名护理人员完成了所有 3 次评估。大多数变量保持不变。观察到神经精神疾病问卷的 5 个亚量表有统计学意义的改善：护理人员对 PLWD 的妄想和焦虑的困扰，以及 PLWD 的妄想、抑郁和总症状严重程度的严重程度。需要进一步测试 IMCC，包括在准实验研究中，以确定其疗效。
