Fossahlid Nursing Home, Health Care Institution of Eastern Iceland.
University of Akureyri, School of Health Sciences, Akureyri, Iceland.
Int J Circumpolar Health. 2021 Dec;80(1):1920252. doi: 10.1080/22423982.2021.1920252.
As more people reaches advanced age, more people experience cognitive impairment and dementia. Dementia is a degenerative disease in which behavioural and psychological symptoms frequently occur, resulting in admissions to nursing homes (NHs), where the most common treatment has been medical treatment. The aim was to compare three rural Arctic NHs in Iceland in their use of psychiatric medication, type of dementia among residents, level of cognitive impairment and selected quality indicators, as well as considering national data, for the period 2016-2018. Data from the interRAI-MDS 2.0 evaluation were used. Residents with severe cognitive impairment used more antipsychotic medications, and residents with mild and severe cognitive impairment used more antidepressants than residents with no cognitive impairment did. Diagnoses of Alzheimer's Disease and Related Dementias (ADRD) are more common in the capital area and the national average than they are in the rural NHs. This indicates need for diagnostic assessments of ADRD to be conducted in rural areas. Benchmarking is beneficial for local and national regulatory bodies to find areas for improvement. The NHs did not have a lower quality of care compared with the whole country, but areas for improvement were identified. One of the NHs has already started this process.
随着越来越多的人进入老年，越来越多的人出现认知障碍和痴呆。痴呆是一种退行性疾病，常伴有行为和心理症状，导致患者入住养老院（NH），而最常见的治疗方法是药物治疗。本研究旨在比较冰岛三个农村北极 NH 在 2016-2018 年期间使用精神科药物、居民痴呆类型、认知障碍程度和选定的质量指标方面的差异，并考虑国家数据。研究使用了 interRAI-MDS 2.0 评估数据。患有严重认知障碍的居民使用更多的抗精神病药物，而患有轻度和重度认知障碍的居民比无认知障碍的居民使用更多的抗抑郁药。在首都地区和全国范围内，阿尔茨海默病和相关痴呆症（ADRD）的诊断比在农村 NH 更为常见。这表明需要在农村地区进行 ADRD 的诊断评估。基准测试有利于地方和国家监管机构找到需要改进的地方。这些 NH 与全国相比并没有更低的护理质量，但也确定了需要改进的地方。其中一家 NH 已经开始了这一进程。
