Consultant Nurse in Research, Hospital Clinic Barcelona, Assistant lecturer Universitat de Barcelona, Villarroel, 170, 08036, Barcelona, Spain.
Associate Nursing Director. Hospital d'Atenció Intermèdia Parc Sanitari Pere Virgili, Esteve Terrades,30, 08023, Barcelona, Spain.
BMC Geriatr. 2020 Jul 16;20(1):246. doi: 10.1186/s12877-020-01633-5.
In our context, as in other European countries, care of patients with cognitive disorders or dementia still represents a major challenge in hospital settings. Thus, there is a need to ensure quality and continuity of care, avoiding preventable readmissions, which involve an increase in public expenses. Healthcare professionals need to acquire the necessary knowledge and skills to care for hospitalized patients with cognitive disorders and dementia.
A quasi-experimental design with repeated observations, taken at baseline, post-intervention, and at one and three months post-intervention, in people hospitalized with cognitive disorders or dementia. The study will be carried out in four general hospitals in Spain and will include 430 PwD and their caregivers. The intervention was previously developed using the Balance of Care methodology where nurses, physicians, social workers and informal caregivers identified the best practices for this specific care situation. We aim to personalize the intervention, as recommended in the literature. The study has an innovative approach that includes new technologies and previous scientific evidence. Valid, reliable instruments will be used to measure the intervention outcomes. Quality of care and comorbidity will be analyzed based on the use of restraints and psychotropic medication, pain control, falls, functional capacity and days of hospitalization. Continuity of care will be measured based on post-discharge emergency hospital visits, visits to specialists, cost, and inter-sectorial communication among healthcare professionals and informal caregivers. Statistical analysis will be performed to analyze the effect of the intervention on quality of care, comorbidity and continuity of care for patients with dementia.
Our aim is to helping healthcare professionals to improve the management of cognitive disorders or dementia care during hospitalization and the quality of care, comorbidity and continuity of care in patients with dementia and their informal caregivers. Moving towards dementia-friendly environments is vital to achieving the optimum care outcomes.
Registered in Clinical Trials. ClinicalTrials.gov Identifier: NCT04048980 retrospectively registered on the 6th August 2019. https://clinicaltrials.gov/ Protocol Record HCB/2017/0499.
Hospital Clinic Barcelona.
在我们的环境中，与其他欧洲国家一样，对认知障碍或痴呆症患者的护理仍然是医院环境中的主要挑战。因此，需要确保护理质量和连续性，避免可预防的再入院，这会增加公共支出。医疗保健专业人员需要掌握必要的知识和技能，以照顾住院的认知障碍和痴呆症患者。
这是一项准实验设计，在基线、干预后以及干预后 1 个月和 3 个月进行重复观察，对象是患有认知障碍或痴呆症的住院患者。该研究将在西班牙的四家综合医院进行，共纳入 430 名认知障碍或痴呆症患者及其照顾者。干预措施是使用“护理平衡”方法预先制定的，其中护士、医生、社会工作者和非正式照顾者确定了这种特定护理情况下的最佳实践。我们旨在按照文献建议，使干预措施个性化。该研究具有创新性方法，包括新技术和先前的科学证据。将使用有效且可靠的工具来衡量干预措施的结果。护理质量和合并症将根据使用约束和精神药物、疼痛控制、跌倒、功能能力和住院天数来分析。连续性护理将根据出院后急诊就诊、专科就诊、成本以及医疗保健专业人员和非正式照顾者之间的跨部门沟通来衡量。将进行统计分析，以分析干预措施对痴呆症患者的护理质量、合并症和连续性护理的影响。
我们的目标是帮助医疗保健专业人员改善住院期间认知障碍或痴呆症护理的管理，以及痴呆症患者及其非正式照顾者的护理质量、合并症和连续性护理。向痴呆症友好环境转变对于实现最佳护理结果至关重要。
ClinicalTrials.gov 注册。ClinicalTrials.gov 标识符：NCT04048980 于 2019 年 8 月 6 日回顾性注册。https://clinicaltrials.gov/ProtocolRecord HCB/2017/0499。
巴塞罗那 Clinic 医院。
