Institute of Biomedicine of Aging (IBA), Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Kobergerstraße 60, 90408, Nuremberg, Germany.
Department of General Internal and Geriatric Medicine, Hospital of the Order of St. John of God Regensburg, Regensburg, Germany.
Z Gerontol Geriatr. 2021 Nov;54(7):659-666. doi: 10.1007/s00391-020-01838-8. Epub 2021 Jan 12.
An increasing number of people with dementia (PwD) are being hospitalized due to acute conditions. The surrounding conditions and procedures in acute hospitals are not oriented to the special needs of this vulnerable patient group. The behavior of PwD poses particular challenges and burdens for nursing staff.
The aim of this pilot study was to evaluate the effectiveness of a 2-day dementia training program with a self-reflection component compared to a standard 1.5‑h training of nursing staff caring for PwD in acute hospitals.
A nonrandomized pretest-posttest study with a control group was conducted in three German acute hospitals. Through a questionnaire, nursing staff caring for PwD were examined for potential changes in attitude, strain and confidence levels. The intervention group (n = 32) received a 2-day training program, "EduKation demenz® Nursing", the control group (n = 36) participated in a short,1.5‑h dementia training.
Compared to the control group, the intervention group demonstrated statistically significant improvement in perceived strain (p = 0.007) and in confidence in caring for PwD (p < 0.001). There were positive but not significant changes in attitude (p = 0.176).
"EduKation demenz® Nursing", a 2-day training program with a self-reflection component, could provide more effective support for nursing staff in acute hospitals caring for PwD than a 1.5‑h training. Results indicate, however, that general conditions in acute hospitals should be changed to allow nursing staff to apply the knowledge gained.
由于急性病症，越来越多的痴呆症患者（PwD）需要住院治疗。急症医院的周围环境和程序并非针对这一弱势群体的特殊需求。痴呆症患者的行为给护理人员带来了特殊的挑战和负担。
本试点研究旨在评估为期两天的痴呆症培训计划（含自我反思环节）与针对急症医院中照顾痴呆症患者的护理人员进行的标准 1.5 小时培训相比的有效性。
在德国的三家急症医院进行了一项非随机的前后测对照研究。通过问卷调查，研究了照顾痴呆症患者的护理人员在态度、压力和信心水平方面的潜在变化。干预组（n=32）接受了为期两天的培训计划“EduKation demenz® Nursing”，对照组（n=36）参加了一个 1.5 小时的简短痴呆症培训。
与对照组相比，干预组在感知压力（p=0.007）和照顾痴呆症患者的信心（p<0.001）方面均表现出统计学上的显著改善。态度方面有积极但无统计学意义的变化（p=0.176）。
为期两天的培训计划（含自我反思环节）“EduKation demenz® Nursing”可为急症医院中照顾痴呆症患者的护理人员提供比 1.5 小时培训更有效的支持。然而，结果表明，急症医院的一般条件应加以改变，以便护理人员能够应用所获得的知识。
