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自主学习能否弥补护理专业学生在阿尔茨海默病知识方面的差距?

Does self-directed learning address gaps in nursing student knowledge of Alzheimer's disease?

作者信息

Love Tamara, Wiese Lisa Ann Kirk, Duncan Vanessa, Bertrand Herlie

机构信息

C.E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.

Nursing, Palm Beach Atlantic University, West Palm Beach, FL, USA.

出版信息

Educ Gerontol. 2023;49(8):673-686. doi: 10.1080/03601277.2022.2148445. Epub 2022 Dec 8.

DOI:10.1080/03601277.2022.2148445
PMID:37674775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10479950/
Abstract

In the past two decades, deaths from stroke, heart disease and HIV decreased, whereas reported deaths from age-related Alzheimer's disease (AD) have increased. Future nurses will be caring for the rapidly escalating number of older adults facing increased AD risk, yet nursing students' knowledge has been shown to be limited regarding the age-related disease of Alzheimer's (and the most common dementia type) (Aljezawi et al., 2022; Mattos et al., 2015). In this pilot study, a quasi-experimental approach was used to examine undergraduate baccalaureate nursing students' basic knowledge about AD among two cohorts ( = 146). Testing occurred following an assigned self-directed learning activity as a means of providing the most current information regarding dementia. Pearson correlation and t-tests were applied in comparing student results in pre- and posttest surveys and investigating possible correlations between sociodemographic variables. Students in the 2020 group scored lower on ten of the thirty test items than the earlier 2018 cohort, suggesting that the method of self-directed learning, despite offering the most recent information, may be inadequate. To prepare nursing students to care for the increasing numbers of older adults at risk for Alzheimer's disease, curricula that are inclusive of the most recent advances in science surrounding dementia-related illnesses, and supplemented by faculty lectures, is recommended. This requires faculty themselves to be knowledgeable of the most recent advances in dementia risk, prevention, detection and management.

摘要

在过去二十年中,中风、心脏病和艾滋病导致的死亡人数有所下降,而报告的与年龄相关的阿尔茨海默病(AD)导致的死亡人数却有所增加。未来的护士将照顾面临AD风险不断增加的迅速增多的老年人,但研究表明,护理专业学生关于阿尔茨海默病(以及最常见的痴呆类型)这种与年龄相关疾病的知识有限(Aljezawi等人,2022年;Mattos等人,2015年)。在这项试点研究中,采用了准实验方法来检验两个队列(n = 146)中本科护理专业学生关于AD的基础知识。在指定的自主学习活动之后进行测试,作为提供有关痴呆症最新信息的一种方式。应用皮尔逊相关性分析和t检验来比较学生在测试前和测试后的调查结果,并调查社会人口统计学变量之间可能存在的相关性。2020组的学生在三十个测试项目中的十个项目上的得分低于较早的2018队列,这表明自主学习方法尽管提供了最新信息,但可能并不充分。为了让护理专业学生做好照顾越来越多有患阿尔茨海默病风险的老年人的准备,建议课程纳入围绕痴呆相关疾病的最新科学进展,并辅以教师讲座。这就要求教师自身了解痴呆症风险、预防、检测和管理方面的最新进展。

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2
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BMC Geriatr. 2022 Aug 22;22(1):691. doi: 10.1186/s12877-022-03389-6.
3
COVID-19, loneliness, social isolation and risk of dementia in older people: a systematic review and meta-analysis of the relevant literature.COVID-19、孤独、社交隔离与老年人痴呆风险:相关文献的系统回顾和荟萃分析。
Int J Psychiatry Clin Pract. 2022 Jun;26(2):196-207. doi: 10.1080/13651501.2021.1959616. Epub 2021 Aug 7.
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The Impact of COVID-19 Quarantine on Patients With Dementia and Family Caregivers: A Nation-Wide Survey.新冠疫情隔离对痴呆症患者及其家庭照料者的影响:一项全国性调查。
Front Aging Neurosci. 2021 Jan 18;12:625781. doi: 10.3389/fnagi.2020.625781. eCollection 2020.
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Simulation learning to train healthcare students in person-centered dementia care.模拟学习培训医护学生以进行以人为本的痴呆症护理。
Gerontol Geriatr Educ. 2022 Apr-Jun;43(2):209-224. doi: 10.1080/02701960.2020.1838503. Epub 2020 Oct 20.
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Dementia prevention, intervention, and care: 2020 report of the Lancet Commission.《痴呆症的预防、干预与照护:柳叶刀委员会2020年报告》
Lancet. 2020 Aug 8;396(10248):413-446. doi: 10.1016/S0140-6736(20)30367-6. Epub 2020 Jul 30.
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