Hong Qian-Xi, Wang Wen-Fu, Yang Yuan-Han, Tung Yu-Chun, Dai Hong-Jie, Hsu Wen-Chuin, Huang Ling-Chun, Jhang Kai-Ming
Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Front Psychiatry. 2024 Sep 26;15:1457923. doi: 10.3389/fpsyt.2024.1457923. eCollection 2024.
This study aimed to confirm the effectiveness of the virtual passport for dementia care.
The virtual passport is an application (app) tool connecting healthcare professionals, dementia care sites, and people living with dementia (PLWD) and their family caregivers. This tool assists case managers in hospitals by providing individualized care plans and health education to PLWD and their caregivers. The dementia quality indicator achievement rates, care needs investigation and fulfillment, severity of behavioral and psychological symptoms of dementia (BPSD), and changes in caregiver burden and depression are measured at the initial interview and 6 and 12 months after the intervention.
We enrolled 57 and 54 patients and their caregivers in the virtual passport and routine care groups, respectively. Compared to the control group, six quality indicators in the passport group showed significantly higher achievement at 6 months after using the virtual passport. Case managers addressed more care needs at 6 months (1.37 vs 0, p < 0.001) and 12 months (1.32 vs 0, p < 0.001). Improvement in severity of neuropsychiatric symptoms (neuropsychiatric inventory (NPI) irritability/lability difference: -0.58 vs 0.22, p = 0.044; NPI agitation/aggression difference =-0.78 vs 0.00, p = 0.042) were also observed. No obvious influence was found in caregiver burden and depression after using the virtual passport.
The virtual passport is an effective information technology tool in improving the quality of dementia care, assisting case management in identifying more care needs, and reducing the severity of BPSD.
本研究旨在证实虚拟护照在痴呆症护理中的有效性。
虚拟护照是一种应用程序（app）工具，可连接医疗保健专业人员、痴呆症护理场所、痴呆症患者（PLWD）及其家庭护理人员。该工具通过为痴呆症患者及其护理人员提供个性化护理计划和健康教育，协助医院的病例管理人员。在初次访谈时以及干预后6个月和12个月，测量痴呆症质量指标达成率、护理需求调查与满足情况、痴呆症行为和心理症状（BPSD）的严重程度以及护理人员负担和抑郁情绪的变化。
我们分别在虚拟护照组和常规护理组中纳入了57名和54名患者及其护理人员。与对照组相比，使用虚拟护照6个月后，护照组的六个质量指标显示出显著更高的达成率。病例管理人员在6个月时（1.37对0，p<0.001）和12个月时（1.32对0，p<0.001）满足了更多的护理需求。还观察到神经精神症状严重程度有所改善（神经精神量表（NPI）易激惹/情绪不稳定差异：-0.58对0.22，p = 0.044；NPI激越/攻击差异=-0.78对0.00，p = 0.042）。使用虚拟护照后未发现对护理人员负担和抑郁有明显影响。
虚拟护照是一种有效的信息技术工具，可提高痴呆症护理质量，协助病例管理识别更多护理需求，并降低BPSD的严重程度。
