Medlin Austin R, Werner Nicole E, Still Catherine Z, Strayer Andrea L, Fields Beth E
Department of Health & Wellness Design, Indiana University School of Public Health-Bloomington, Bloomington, USA.
Department of Kinesiology, School of Education, University of Wisconsin-Madison, Madison, USA.
PEC Innov. 2024 Jul 8;5:100320. doi: 10.1016/j.pecinn.2024.100320. eCollection 2024 Dec 15.
Care partners of persons living with dementia (PLWD) often feel unprepared to care for their loved ones. Improving PLWD care partner identification and education during hospital stays can improve preparedness. This retrospective EHR study investigated PLWD characteristics that may relate to care partner identification, education, and teaching methods during hospital stays.
Encounters from a Midwestern academic healthcare system were used. Patients were over 18, had a documented dementia diagnosis, were admitted to the hospital for at least 24 h, and had information documented in care partner or education data fields ( = 7982). Logistic regressions assessed patient's demographics, care partner identification and education. Chi-square tests compared education teaching methods and patient discharge location.
PLWD's who were unmarried, discharged to other care facilities, or received the diagnosis "degeneration of nervous system due to alcohol" were associated with lacking care partner identification. Care partners of unmarried PLWDs or those with the diagnosis "Alzheimer's disease, unspecified" received less education. Multiple teaching methods were associated with discharge location.
Multiple characteristics were related to PLWD care partner identification and education differences during hospital stays.
Novel analyses highlight need for a protocol to systematically prepare dementia care partners.
痴呆症患者（PLWD）的护理伙伴常常觉得自己没有做好照顾亲人的准备。在住院期间改善对PLWD护理伙伴的识别和教育可以提高准备程度。这项回顾性电子健康记录研究调查了与住院期间护理伙伴识别、教育及教学方法可能相关的PLWD特征。
使用来自中西部学术医疗系统的就诊记录。患者年龄超过18岁，有痴呆症诊断记录，住院至少24小时，且在护理伙伴或教育数据字段中有记录信息（n = 7982）。逻辑回归评估患者的人口统计学特征、护理伙伴识别和教育情况。卡方检验比较教育教学方法和患者出院地点。
未婚、出院到其他护理机构或诊断为“酒精所致神经系统变性”的PLWD与缺乏护理伙伴识别相关。未婚PLWD或诊断为“未特指的阿尔茨海默病”的护理伙伴接受的教育较少。多种教学方法与出院地点相关。
多种特征与住院期间PLWD护理伙伴识别及教育差异相关。
新颖的分析突出了制定一项系统准备痴呆症护理伙伴的方案的必要性。
