University of Applied Sciences - St. Gallen, Institute for Applied Nursing Sciences, Rosenbergstrasse 59, 9001, St. Gallen, Switzerland.
Technical University of Applied Sciences - Rosenheim, Hochschulstrasse 1, 83024, Rosenheim, Germany.
BMC Geriatr. 2020 Sep 7;20(1):326. doi: 10.1186/s12877-020-01728-z.
Caring for people with dementia (PwD) is often challenging for caregiving relatives. Respite care (RC) is a commonly used short-term inpatient service. The provision of RC can serve as a link between home care and institutional care and can help to stabilize the care provided at home. During RC, the everyday functional skills of PwD can be improved or stabilized through systematic mobility training. However, no specific mobility programme exists for this setting. The aim of the DESKK study was to develop and test a mobility training programme for PwD in the RC setting in Germany.
A quasi-experimental pilot study was conducted in a specialized RC centre for PwD. Qualitative and quantitative data were collected and analysed using a mixed methods design.
The DESKK mobility programme may be introduced in the RC setting depending on the required time and professional resources. The mobility programme had a high acceptance rate among the staff involved. Ongoing documentation of the mobility exercises were challenging. During their stay (2-4 weeks), the physical function level of the included PwD (n = 20) increased regarding leg strength, gross motor coordination, fine coordination of the fingers and hand strength.
The DESKK mobility programme showed a high acceptance rate by the staff and was usable in daily care routine for the most part. These aspects indicate that the programme has the potential to be successfully implemented in the RC setting. The DESKK concept is described in the form of a practice-friendly website to facilitate its use in clinical practice after its successful evaluation.
照顾痴呆症患者（PwD）对护理亲属来说通常具有挑战性。暂息护理（RC）是一种常用的短期住院服务。提供 RC 可以作为家庭护理和机构护理之间的联系，并有助于稳定家庭提供的护理。在 RC 期间，通过系统的运动训练可以改善或稳定 PwD 的日常功能技能。然而，针对这种情况没有特定的运动计划。DESKK 研究的目的是在德国的 RC 环境中为 PwD 开发和测试一种运动训练计划。
在专门的 RC 中心对 PwD 进行了一项准实验性的试点研究。使用混合方法设计收集和分析定性和定量数据。
根据所需的时间和专业资源，DESKK 运动计划可能会在 RC 环境中推出。该运动计划在参与的工作人员中获得了很高的接受率。对运动练习的持续记录具有挑战性。在他们的逗留期间（2-4 周），纳入的 PwD（n=20）的身体功能水平在腿部力量、大运动协调性、手指精细协调和手部力量方面有所提高。
DESKK 运动计划在很大程度上得到了工作人员的高度认可，并可在日常护理常规中使用。这些方面表明该计划有可能在 RC 环境中成功实施。DESKK 概念以一种便于临床实践使用的形式呈现，以便在成功评估后在临床实践中使用。
