与医护人员和住院老年痴呆症患者互动质量相关的临床因素。
Clinical factors associated with the quality of interactions between staff and hospitalized older patients with dementia.
机构信息
Assistant Professor, The Pennsylvania State University, College of Nursing, 203B Nursing Sciences Building, University Park, PA, 16802.
Professor, The Pennsylvania State University, College of Nursing, Nursing Sciences Building, University Park, PA, 16802.
出版信息
Geriatr Nurs. 2023 Nov-Dec;54:54-59. doi: 10.1016/j.gerinurse.2023.08.025. Epub 2023 Sep 11.
This study examines the clinical factors associated with the quality of interactions between staff and hospitalized older patients with dementia. Following examination of bivariate associations, we conducted multiple linear regression in a sample of 140 hospitalized older patients with dementia who participated in the final cohort of an intervention study implementing Family-centered Function-focused Care (Fam-FFC). On average, the participants (male = 46.1%, female = 52.9%) were 81.43 years old (SD = 8.29) and had positive interactions with staff (mean QUIS score = 5.84, SD = 1.36). Accounting for 17.8% of variance in the model, non-pharmacological intervention use (b= 0.170; p<.001) and pain (b= -0.198; p<.01) were significantly associated with the quality of staff-patient interactions. To optimize care of hospitalized patients with dementia, staff should be encouraged to use non-pharmacological interventions. It is also important for staff to assess pain among the patients with dementia and prioritize pain management.
本研究考察了与工作人员和住院痴呆老年患者互动质量相关的临床因素。在检查了双变量关联之后，我们对参加实施以家庭为中心的功能为重点的护理（Fam-FFC）干预研究最后一组的 140 名住院痴呆老年患者进行了多元线性回归。平均而言，参与者（男性= 46.1％，女性= 52.9％）的年龄为 81.43 岁（SD = 8.29），与工作人员的互动积极（QUIS 平均得分为 5.84，SD = 1.36）。该模型解释了 17.8％的方差，非药物干预的使用（b = 0.170；p<.001）和疼痛（b = -0.198；p<.01）与工作人员与患者互动的质量显著相关。为了优化住院痴呆患者的护理，应鼓励工作人员使用非药物干预措施。评估痴呆患者的疼痛并优先进行疼痛管理也很重要。
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