Heinrich Stephanie, Schiller Christine, Grünzig Manuela, Klatt Thomas, Geyer Jennifer, Meyer Gabriele
Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg.
Pflege. 2021;34(5):275-284. doi: 10.1024/1012-5302/a000831.
Dementia Care Nurse - Feasibility study of outreach assistance for people with dementia and their family carers Case management for dementia is stipulated in the German national dementia strategy. The effectiveness of case management has been investigated many times, yet the results are heterogeneous. On the contrary, the implementation processes of case management concepts have to date rarely been described or evaluated in detail. The aim of the project was to analyze the implementation of an outreaching assistance for people with dementia and to explore the changes in care, acceptance, and also facilitators and barriers to the implementation. Between 08 / 2018 and 07 / 2019, outreaching assistance for people with dementia and their family carers was implemented. Quantitative and qualitative data were prospectively collected using semi-standardised interviews in the context of outreach assistance. A total of 113 people with dementia were included in the study, and for the most part family carers could be involved. On average, eight contacts took place over a period of 74 days. The areas of need and support were diverse. The use of support services increased by 19 % after the end of the intervention. The implementation of continuous and processual support for people with dementia and their carers is possible, whereby the structure and procedure should be transparent. A comprehensive orientation and networking is beneficial. The effectiveness of the intervention remains to be investigated in a controlled study.
痴呆症护理护士——为痴呆症患者及其家庭护理人员提供外展援助的可行性研究 德国国家痴呆症战略规定了痴呆症的病例管理。病例管理的有效性已被多次研究，但其结果参差不齐。相反，病例管理概念的实施过程迄今为止很少得到详细描述或评估。该项目的目的是分析为痴呆症患者提供外展援助的实施情况，并探讨护理、接受度方面的变化，以及实施的促进因素和障碍。在2018年8月至2019年7月期间，为痴呆症患者及其家庭护理人员实施了外展援助。在提供外展援助的背景下，通过半标准化访谈前瞻性地收集了定量和定性数据。共有113名痴呆症患者纳入了该研究，并且在很大程度上其家庭护理人员也参与其中。平均而言，在74天的时间里进行了8次接触。需求和支持领域多种多样。干预结束后，支持服务的使用率提高了19%。为痴呆症患者及其护理人员提供持续和过程性支持是可行的，其中结构和程序应透明。全面的指导和建立联系是有益的。干预的有效性仍有待在对照研究中进行调查。
