The University of North Carolina at Chapel Hill, School of Nursing, Carrington Hall, Campus Box #7460, Chapel Hill, NC 27599-7460, United States.
The University of North Carolina at Chapel Hill, School of Nursing, Carrington Hall, Campus Box #7460, Chapel Hill, NC 27599-7460, United States.
Geriatr Nurs. 2022 Nov-Dec;48:197-202. doi: 10.1016/j.gerinurse.2022.09.016. Epub 2022 Oct 20.
After leaving skilled nursing facilities (SNF), 20% of people with dementia (PWD) are re-hospitalized within 30 days. We assessed fidelity, acceptability, preliminary outcomes, and mechanisms of the Connect-Home ADRD transitional care intervention.
A feasibility study of Connect-Home ADRD.
The Connect-Home intervention was adapted for dementia-specific needs. PWD and caregiver dyads in 2 SNFs received transitional care. Data sources included interviews with PWD and caregivers and a review of health records.
19 of 34 eligible dyads (56%) were enrolled. The intervention was feasible (components delivered for >84% of dyads) and acceptable (dyads rated it very helpful and not difficult to use). Connect-Home ADRD adaptations included in-home support to manage symptoms of dementia and unplanned events, such as transition to hospice.
Connect-Home ADRD is feasible, acceptable, and merits future research as an intervention to reduce rapid return to acute care following SNF stays.
离开熟练护理机构(SNF)后,20%的痴呆症患者(PWD)在 30 天内再次住院。我们评估了 Connect-Home 痴呆过渡期护理干预的保真度、可接受性、初步结果和机制。
Connect-Home 老年痴呆症的可行性研究。
Connect-Home 干预措施针对痴呆症的特殊需求进行了调整。2 家 SNF 的 PWD 和护理员对接受了过渡性护理。数据来源包括对 PWD 和护理员的访谈以及对健康记录的审查。
19 对符合条件的对(56%)被纳入研究。该干预措施是可行的(>84%的对接受了所有的干预措施),且可接受(对认为该干预措施非常有帮助,且使用起来并不困难)。Connect-Home 老年痴呆症的适应措施包括在家中提供支持,以管理痴呆症症状和计划外事件,如过渡到临终关怀。
Connect-Home 老年痴呆症是可行的、可接受的,并值得进一步研究,作为一种减少 SNF 入住后快速返回急性护理的干预措施。