Gkioka Mara, Teichmann Birgit, Moraitou Despina, Papagiannopoulos Sotirios, Tsolaki Magda
Network Aging Research, Heidelberg University, Bergheimer Str. 20, 69115 Heidelberg, Germany.
School of Medicine, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, Greece.
Brain Sci. 2020 Dec 12;10(12):976. doi: 10.3390/brainsci10120976.
People with Dementia (PwD) are frequently admitted in general hospitals. However, health care professionals have lack of dementia knowledge, negative attitudes toward dementia, and lack of confidence in caring those patients. The aim of this study is to develop, implement and evaluate a dementia staff training program in Greek general hospitals. It was a repeated-measures research design. Fourteen (14) two-day workshops were conducted, consisting of six targeted and interactive modules. Staff members (N = 242) attended the program and were assessed according to (1) individual performance: questionnaires about attitudes towards dementia, confidence in care, knowledge about dementia and anxiety before, immediately after the training and three months later, (2) an overall training evaluation immediately after the training and (3) an evaluation of training implementation three months later. Positive attitudes towards dementia, improvement of confidence in care and decrease of feeling of anxiety as a trait, were sustained over time. Knowledge about dementia also increased after the training and sustained, with, however, a slight decrease over time. A well applied training program seems to provide the basis of a better care in PwD during hospitalization. However, changes in the organizational level and a transformation of care culture are necessary for training sustainability over time.
痴呆症患者（PwD）经常被收治于综合医院。然而，医护人员缺乏痴呆症知识，对痴呆症持消极态度，且在护理这些患者时缺乏信心。本研究的目的是在希腊综合医院开发、实施并评估一项针对痴呆症的医护人员培训项目。这是一项重复测量研究设计。共举办了14场为期两天的研讨会，由六个有针对性的互动模块组成。工作人员（N = 242）参加了该项目，并根据以下方面进行评估：（1）个人表现：在培训前、培训结束后立即以及三个月后，就对痴呆症的态度、护理信心、痴呆症知识和焦虑情况进行问卷调查；（2）培训结束后立即进行的整体培训评估；（3）三个月后对培训实施情况的评估。对痴呆症的积极态度、护理信心的提高以及作为一种特质的焦虑感的降低，随着时间的推移得以持续。关于痴呆症的知识在培训后也有所增加并得以保持，但随着时间的推移略有下降。一个应用良好的培训项目似乎为住院期间更好地护理痴呆症患者提供了基础。然而，为了培训的长期可持续性，组织层面的变革和护理文化的转变是必要的。
