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新冠疫情期间痴呆症患者的远程康复治疗:来自英格兰的案例研究。

Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England.

机构信息

Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK.

Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK.

出版信息

Int J Environ Res Public Health. 2021 Feb 10;18(4):1717. doi: 10.3390/ijerph18041717.

Abstract

UNLABELLED

Introduction The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership National Health Service (NHS) foundation Trust successfully delivered PrAISED through a video-calling platform during the Coronavirus Disease 2019 (COVID-19) pandemic.

METHODS

This qualitative case-study aimed to identify participants that video delivery worked for, to highlight its benefits and its challenges. Interviews were conducted between May and August 2020 with five participants with dementia and their caregivers ( = 10), as well as five therapists from the Lincolnshire partnership NHS foundation Trust. The interviews were analysed through thematic analysis.

RESULTS

Video delivery worked best when participants had a supporting caregiver and when therapists showed enthusiasm and had an established rapport with the client. Benefits included time efficiency of sessions, enhancing participants' motivation, caregivers' dementia awareness, and therapists' creativity. Limitations included users' poor IT skills and resources.

DISCUSSION

The COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele-rehabilitation, but success is reliant on having a caregiver and an enthusiastic and known therapist.

摘要

未标注

简介 促进早期痴呆患者活动、独立和稳定(PrAISED)正在为痴呆症患者提供一项锻炼计划。林肯郡合作国民保健服务基金会信托基金在 2019 年冠状病毒病(COVID-19)大流行期间通过视频通话平台成功交付了 PrAISED。

方法

这项定性案例研究旨在确定视频交付有效的参与者,强调其益处和挑战。2020 年 5 月至 8 月,与五名痴呆症患者及其护理人员(= 10 名)以及来自林肯郡合作国民保健服务基金会信托基金的五名治疗师进行了访谈。通过主题分析对访谈进行了分析。

结果

当参与者有支持性护理人员,并且治疗师表现出热情并与客户建立了良好的关系时,视频交付效果最佳。好处包括会议时间效率的提高、增强参与者的动机、护理人员对痴呆症的认识以及治疗师的创造力。限制包括用户较差的 IT 技能和资源。

讨论

COVID-19 大流行需要创新的康复方式。这项研究支持痴呆症患者可以使用远程康复,但成功依赖于有护理人员和热情且熟悉的治疗师。

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