Nowaskie Dustin Z, Sewell Daniel D
Department of Psychiatry Indiana University School of Medicine Indianapolis Indiana USA.
Department of Psychiatry University of California, San Diego San Diego California USA.
Alzheimers Dement (N Y). 2021 Feb 14;7(1):e12137. doi: 10.1002/trc2.12137. eCollection 2021.
Although dementia risk factors are elevated in lesbian, gay, bisexual, and transgender (LGBT) older adults and are perpetuated by a lack of cultural competency, no known studies have quantified LGBT cultural competency among dementia care providers.
Dementia care providers (N = 105) across the United States completed a survey consisting of the 7-point Likert LGBT-Development of Clinical Skills Scale.
Dementia care providers reported very high affirming attitudes (M = 6.67, standard deviation [SD] = 0.71), moderate knowledge (M = 5.32, SD = 1.25), and moderate clinical preparedness (M = 4.93, SD = 1.23). Compared to previously published data, they reported significantly lower knowledge than medical students. There were no differences compared to psychiatry residents.
The current state of dementia care providers' LGBT cultural competency has significant, yet modifiable, gaps. Better education, including more LGBT patient exposure, is necessary to improve the care being provided to members of the LGBT community impacted by dementia illness.
尽管女同性恋、男同性恋、双性恋和跨性别（LGBT）老年人患痴呆症的风险因素有所增加，且因缺乏文化能力而持续存在，但尚无已知研究对痴呆症护理提供者的LGBT文化能力进行量化。
美国各地的痴呆症护理提供者（N = 105）完成了一项由7点李克特LGBT临床技能发展量表组成的调查。
痴呆症护理提供者报告了非常积极肯定的态度（M = 6.67，标准差[SD] = 0.71）、中等程度的知识水平（M = 5.32，SD = 1.25）和中等程度的临床准备情况（M = 4.93，SD = 1.23）。与之前发表的数据相比，他们报告的知识水平明显低于医学生。与精神科住院医生相比没有差异。
痴呆症护理提供者的LGBT文化能力现状存在显著但可改变的差距。需要更好的教育，包括增加接触LGBT患者的机会，以改善对受痴呆症影响的LGBT社区成员提供的护理。
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