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针对住院认知障碍老年人的痴呆友好型干预措施:意大利痴呆友好型医院试验(IDENTITÀ)的结果

Dementia-friendly intervention for hospitalized older adults with cognitive impairments: results of the Italian Dementia-Friendly Hospital Trial (IDENTITÀ).

作者信息

Allegri Nicola, Rosi Alessia, Del Signore Federica, Cremascoli Riccardo, Cappa Stefano, Tassorelli Cristina, Govoni Stefano

机构信息

IRCCS Mondino Foundation, Pavia, Italy.

CEFAT (Center of Pharmaceuticals Economics and Medical Technologies Evaluation), University of Pavia, Pavia, Italy.

出版信息

Aging Ment Health. 2022 Apr;26(4):716-724. doi: 10.1080/13607863.2021.1901261. Epub 2021 Mar 24.

Abstract

To evaluate whether a short training focused on improving dementia care practices of the hospital staff was able to counteract functional loss and to decrease negative outcomes at discharge among hospitalized older adults with cognitive impairment. Sixty-eight hospitalized participants aged 65 and over with cognitive impairment were included in the study, allocated in the control group ( = 34) and intervention group ( = 34). The intervention consisted of a short training of the hospital staff aimed at improving the management of patients with cognitive impairment. Participants were evaluated within 48 h of hospital admission and at discharge using a battery of tests including Barthel Index, Mini-Mental State Examination, and Hospital Anxiety and Depression Scale. The intervention group demonstrated shorter hospital length of stay and a maintenance of the functional status at discharge compared to the control group. We observed no differences in cognitive ability between the two groups, and a trend towards a decrease of anxious symptoms in the intervention group compared to the control group. The results suggest that an intervention, focused on improving dementia care practices in healthcare staff, has the potential to improve the outcomes for hospitalized older adults with cognitive impairment.

摘要

为评估一项聚焦于改善医院工作人员痴呆症护理实践的短期培训,是否能够抵消功能丧失,并减少住院认知障碍老年人出院时的不良后果。该研究纳入了68名年龄在65岁及以上的住院认知障碍参与者,分为对照组(n = 34)和干预组(n = 34)。干预措施包括对医院工作人员进行短期培训,旨在改善对认知障碍患者的管理。参与者在入院后48小时内及出院时,使用包括巴氏指数、简易精神状态检查表和医院焦虑抑郁量表在内的一系列测试进行评估。与对照组相比,干预组的住院时间更短,出院时功能状态得以维持。我们观察到两组在认知能力上没有差异,且干预组与对照组相比有焦虑症状减轻的趋势。结果表明,一项专注于改善医护人员痴呆症护理实践的干预措施,有可能改善住院认知障碍老年人的结局。

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