Chodosh H L, Zeffert B, Muro E S
J Am Geriatr Soc. 1986 Dec;34(12):881-6. doi: 10.1111/j.1532-5415.1986.tb07263.x.
An analysis was completed of 34 patients with dementia who attended a mixed medical day care program over a five-year period. The parameters reviewed included age, home situation, diagnosis, incidence of co-existent medical disorders, management by the social worker, nurses and neuropsychiatrist, the extent of social and program participation, length of stay, and disposition. There was a high incidence of medical problems which were managed effectively because of close nursing observation, availability of ancillary services, specialty clinics, and frequent communication with the community physicians. The social worker assisted families with the management of long-term planning for the dementia patients and the entire social-nursing-recreational therapy team devised programs which encouraged the patients to function at an optimum level. Neuropsychiatric management, including drug therapy, was an integral part of the program. Despite the fact that the dementia patients were at high risk, with an average age of 81 years the average duration of attendance was two years four months and only nine of the 34 patients ultimately required nursing home placement. It was concluded that the day care program served as a resource which devised, integrated, and supervised, in cooperation with the community physicians, the support network and management strategies for the dementia patients.
对34名患有痴呆症的患者进行了分析，这些患者在五年期间参加了一个综合性日间医疗护理项目。所审查的参数包括年龄、家庭状况、诊断结果、并存疾病的发生率、社会工作者、护士和神经精神科医生的管理情况、社会和项目参与程度、住院时间以及出院去向。由于密切的护理观察、辅助服务的可及性、专科门诊以及与社区医生的频繁沟通，医疗问题的发生率很高且得到了有效管理。社会工作者协助家庭为痴呆症患者进行长期规划，整个社会 - 护理 - 娱乐治疗团队设计了各种项目，鼓励患者发挥最佳功能水平。神经精神科管理，包括药物治疗，是该项目的一个组成部分。尽管痴呆症患者处于高风险状态，平均年龄为81岁，但平均住院时间为两年零四个月，34名患者中只有9名最终需要安置在养老院。得出的结论是，日间护理项目作为一种资源，与社区医生合作，设计、整合并监督了针对痴呆症患者的支持网络和管理策略。
