五家医院开展的痴呆友好型培训项目的实施情况与成果
Implementation and outcomes of a dementia-friendly training program in five hospitals.
作者信息
Roberts Ellen, Schneider Ellen C, Dale Maureen, Henage Cristine B, Kelley Casey J, Busby-Whitehead Jan
机构信息
UNC Center for Aging and Health, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA.
UNC Center for Aging and Health, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA.
出版信息
Geriatr Nurs. 2024 Nov-Dec;60:291-296. doi: 10.1016/j.gerinurse.2024.09.011. Epub 2024 Oct 4.
BACKGROUND
Hospitalized patients living with dementia (PLWD) age 65+ generally experience poor outcomes. This study's purpose was to implement dementia-friendly training with staff, track patient outcomes, and implement sustainable system changes.
METHODS
We conducted a prospective study in five hospitals. The hospitals adopted HealthCare Interactive's CARES® Dementia 5-Step Method for Hospitals Online Training and Certification Program . After on-line modules completion, a didactic session was offered, and a retrospective pre/post survey was completed. Patient falls, length of stay, and readmission rates were collected.
RESULTS
1,836 (41 %) staff completed the training. Positive changes in staff ratings from pre- to post- intervention were observed. Number of falls and readmissions did not change. The average number of stays per patient decreased by .24 (p=0.01). Hospitals made system changes including innovative identification for PLWD.
CONCLUSIONS
Dementia-friendly hospital training is effective in improving staff recognition of the symptoms and needs of PLWD, and responding appropriately.
背景
65岁及以上患有痴呆症的住院患者（PLWD）通常预后较差。本研究的目的是对工作人员进行痴呆症友好型培训，跟踪患者预后，并实施可持续的系统变革。
方法
我们在五家医院进行了一项前瞻性研究。这些医院采用了HealthCare Interactive的CARES®医院痴呆症五步在线培训和认证计划。在线模块完成后，举办了一次教学会议，并完成了一项回顾性的干预前后调查。收集了患者跌倒、住院时间和再入院率的数据。
结果
1836名（41%）工作人员完成了培训。观察到干预前后工作人员评分有积极变化。跌倒和再入院的数量没有变化。每位患者的平均住院次数减少了0.24次（p=0.01）。医院进行了系统变革，包括对PLWD的创新识别。
结论
痴呆症友好型医院培训有效地提高了工作人员对PLWD症状和需求的认识，并做出了适当反应。
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