J Gerontol Nurs. 2023 Nov;49(11):15-23. doi: 10.3928/00989134-20231010-04. Epub 2023 Nov 1.
Many nursing home (NH) residents with advanced dementia receive burdensome interventions rather than interventions that promote comfort or quality of life. The purpose of the current study was to test the usability of a novel intervention, ADVANCED-Comfort, which aims to enhance the provision of personalized care for residents with advanced dementia. The intervention comprises structured care plan meetings between the NH team and proxies of residents with dementia (e.g., family members). Using the ADVANCED-Comfort workbook, proxies create individualized care plans addressing six domains adapted from the Age-Friendly Health System Framework. The purpose of this article is to describe the intervention and its theoretical underpinnings and report the usability of the intervention evaluated with surveys, observation, and exit interviews. The study demonstrated that proxies and NH staff found the intervention usable (acceptable, appropriate, and feasible). Based on these preliminary findings, additional testing of the ADVANCED-Comfort intervention is warranted. [(11), 15-23.].
许多患有晚期痴呆症的养老院（NH）居民接受了负担过重的干预措施，而不是促进舒适或生活质量的干预措施。本研究的目的是测试一种新型干预措施 ADVANCED-Comfort 的可用性，该措施旨在增强为患有晚期痴呆症的居民提供个性化护理。该干预措施包括 NH 团队与痴呆症居民的代理人（例如，家庭成员）之间的结构化护理计划会议。使用 ADVANCED-Comfort 工作簿，代理人创建针对六个领域的个性化护理计划，这些领域改编自适合老龄化健康系统框架。本文的目的是描述干预措施及其理论基础，并报告通过调查、观察和退出访谈评估的干预措施的可用性。研究表明，代理人和 NH 工作人员认为该干预措施具有可用性（可接受、适当和可行）。基于这些初步发现，需要进一步测试 ADVANCED-Comfort 干预措施。[(11)，15-23]。
