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适应痴呆症护理管理的区域性德国背景:对可接受性、适当性和可行性变化的评估。

Adapting Dementia Care Management to a Regional German Context: Assessment of Changes in Acceptability, Appropriateness, and Feasibility.

机构信息

Department of Psychology, Psychological Aging Research, Faculty V: School of Life Sciences, University of Siegen, Siegen, Germany.

German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.

出版信息

J Appl Gerontol. 2024 Dec;43(12):1985-1996. doi: 10.1177/07334648241258024. Epub 2024 Jun 5.

Abstract

Dementia care management, an evidence-based care concept in Germany, optimizes care for people with dementia and their caregivers. Implemented by qualified professionals, it comprises intervention modules addressing treatment and care, medication management, and caregiver support. Positively evaluated in one federal state, it's recommended for nationwide integration into routine care. Since the infrastructure of the German healthcare system differs regionally, the concept underwent adaption for regional implementation in a participatory, iterative process. Five local healthcare experts as co-researchers tested and adjusted selected components of the concept in a pilot study. This trend analysis aims to assess the adapted concept for acceptance, appropriateness, and feasibility. A total of 89 intervention modules were tested over 18 weeks, and the co-researcher's assessment was gathered through an accompanying online survey. The participatory process itself was rated positively overall, but technical problems had a negative impact on the implementation and evaluation of the care concept.

摘要

痴呆症护理管理是德国的一个基于证据的护理理念,旨在优化痴呆症患者及其护理人员的护理。由合格的专业人员实施,它包括针对治疗和护理、药物管理和护理人员支持的干预模块。在一个联邦州得到了积极评估,建议将其纳入全国常规护理。由于德国医疗保健系统的基础设施在区域上存在差异,因此该理念在参与式、迭代过程中进行了调整,以适应区域实施。五名当地医疗保健专家作为共同研究人员在试点研究中测试和调整了该理念的选定内容。这项趋势分析旨在评估经调整的概念在可接受性、适当性和可行性方面的情况。总共在 18 周内测试了 89 个干预模块,并通过伴随的在线调查收集了共同研究人员的评估。总体而言,参与过程得到了积极评价,但技术问题对护理理念的实施和评估产生了负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1328/11552198/6e5d20c2dede/10.1177_07334648241258024-fig1.jpg

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