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基于社区的跨学科协作痴呆症护理项目的设计与开发

Design and Development of a Community-Based, Interdisciplinary, Collaborative Dementia Care Program.

作者信息

Goldfarb Danielle, Allen Angela M, Nisson Lori E, Petitti Diana B, Saner Donald, Langford Carrie, Burke William J, Reiman Eric M, Atri Alireza, Tariot Pierre N

机构信息

Banner Sun Health Research Institute (D.G., L.E.N, C.L., A.A.), Sun City, AZ; University of Arizona College of Medicine (D.G., W.J.B., E.M.R., P.N.T.), Phoenix, AZ.

Banner University Medical Center (A.M.A.), Phoenix, AZ; Arizona State University (A.M.A., E.M.R.), Tempe, AZ.

出版信息

Am J Geriatr Psychiatry. 2022 Jun;30(6):651-660. doi: 10.1016/j.jagp.2021.10.014. Epub 2021 Nov 12.

Abstract

OBJECTIVE

To describe the design, development, and baseline characteristics of enrollees of a home-based, interdisciplinary, dyadic, pilot dementia care program.

DESIGN

Single-arm, dementia care intervention in partnership with primary care providers delivered by Health Coaches to persons with dementia and caregiver "dyads" and supervised by an interdisciplinary team.

SETTING

Home- and virtual-based dyad support.

PARTICIPANTS

Persons with mild cognitive impairment or dementia diagnosis and/or who were prescribed antidementia medications; had an identified caregiver willing to participate; were under the care of a partner primary care provider; and had health insurance through the affiliated accountable care organization (Banner Health Network).

INTERVENTION

Provision of personalized dementia education and support in the home or virtually by Health Coaches supported by an interdisciplinary team.

MEASUREMENTS

Cognition, function, mood, and behavior of persons with dementia; caregiver stress and program satisfaction; primary care provider satisfaction.

RESULTS

Served dyads from three primary care clinics with a total of 87 dyads enrolled between December 2018 and June 2020.

CONCLUSION

A pilot Dementia Care Partners demonstrated feasibility and suggested acceptability, and high satisfaction among primary care providers and caregivers.

摘要

目的

描述一项基于家庭的、跨学科的、二元组式痴呆症护理试点项目参与者的设计、开展情况及基线特征。

设计

与初级保健提供者合作开展的单臂痴呆症护理干预,由健康教练向痴呆症患者和护理者“二元组”提供服务,并由跨学科团队进行监督。

地点

基于家庭和虚拟的二元组支持。

参与者

患有轻度认知障碍或痴呆症诊断和/或正在服用抗痴呆药物的人;有一名愿意参与的指定护理者;由合作的初级保健提供者负责护理;并通过附属的责任医疗组织(班纳健康网络)拥有医疗保险。

干预措施

由跨学科团队支持的健康教练在家庭中或通过虚拟方式提供个性化的痴呆症教育和支持。

测量指标

痴呆症患者的认知、功能、情绪和行为;护理者压力和项目满意度;初级保健提供者满意度。

结果

为来自三个初级保健诊所的二元组提供服务,2018年12月至2020年6月期间共招募了87个二元组。

结论

痴呆症护理伙伴试点项目证明了其可行性和可接受性,并在初级保健提供者和护理者中获得了高度满意度。

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