医学专业人士参与痴呆症咖啡馆对居家痴呆症患者及其家庭照顾者参与度的影响。
Effects of the Participation and Involvement of Medical Professionals in Dementia Cafés on the Attendance of People with Dementia Living at Home and Their Family Caregivers.
机构信息
Department of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Aichi, Japan.
Faculty of Human Health Science, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
出版信息
J Alzheimers Dis. 2022;86(4):1775-1782. doi: 10.3233/JAD-215472.
BACKGROUND
Dementia cafés have been attracting attention as a new approach to dementia care, but the effects of the participation of medical professionals remain unclear.
OBJECTIVE
To clarify the significance of collaboration between medical professionals and dementia cafés.
METHODS
Questionnaires regarding the numbers of staff and guests, whether medical professionals introduced guests, whether cafés announced their activities to medical institutions, and whether people with dementia played a role were sent to dementia cafés throughout Japan. The responding dementia cafés were then divided into two groups according to the presence or involvement of medical professionals and institutions and compared.
RESULTS
Responses were received from 148 dementia cafés, among which, medical professionals participated in 96 (64.9%). Significantly more people with dementia living at home attended cafés run or staffed with medical professionals (p = 0.021 and p = 0.017, respectively), as well as when medical professionals introduced guests to the café or when the café announced their activities to medical institutions (p = 0.001 and p = 0.002, respectively). Significantly more people with dementia played a role in cafés where medical professionals were administrators or staff (p = 0.008 and p = 0.018, respectively). Similar effects were observed for family caregivers.
CONCLUSION
The participation and involvement of medical professionals and institutions in dementia cafés increased the attendance of people with dementia, especially those living at home. These results suggest that dementia cafés are an effective hub for connecting care for dementia with medical care, and thus help avoid fragmentation in dementia care.
背景
痴呆症咖啡馆作为一种新的痴呆症护理方法引起了关注，但医疗专业人员参与的效果仍不清楚。
目的
阐明医疗专业人员与痴呆症咖啡馆合作的意义。
方法
向日本各地的痴呆症咖啡馆发送了一份关于工作人员和客人人数、医疗专业人员是否介绍客人、咖啡馆是否向医疗机构宣传其活动以及痴呆症患者是否发挥作用的问卷。然后根据医疗专业人员和机构的存在或参与情况将做出回应的痴呆症咖啡馆分为两组进行比较。
结果
共收到 148 家痴呆症咖啡馆的回复，其中有 96 家（64.9%）有医疗专业人员参与。有医疗专业人员参与经营或工作人员的咖啡馆中，有更多的居家痴呆症患者参加（p=0.021 和 p=0.017，分别），以及当医疗专业人员向咖啡馆介绍客人或咖啡馆向医疗机构宣传其活动时（p=0.001 和 p=0.002，分别）。有医疗专业人员担任管理员或工作人员的咖啡馆中，痴呆症患者扮演角色的比例更高（p=0.008 和 p=0.018，分别）。类似的效果也出现在家庭照顾者身上。
结论
医疗专业人员和机构参与痴呆症咖啡馆增加了痴呆症患者，特别是居家患者的参与度。这些结果表明，痴呆症咖啡馆是将痴呆症护理与医疗护理联系起来的有效中心，从而有助于避免痴呆症护理的碎片化。
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