Metzelthin Silke F, Thuesen Jette, Tuntland Hanne, Zingmark Magnus, Jeon Yun-Hee, Kristensen Hanne Kaae, Low Lee-Fay, Poulos Christopher J, Pool Jackie, Rahja Miia, Rosendahl Erik, de Vugt Marjolein E, Giebel Clarissa, Graff Maud J L, Clare Linda
Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.
Living Laboratory in Ageing and Long-Term Care, Maastricht, the Netherlands.
J Multidiscip Healthc. 2024 Nov 25;17:5583-5591. doi: 10.2147/JMDH.S484069. eCollection 2024.
The World Health Organization (WHO) recognizes the right of individuals with dementia and their family caregivers to access interventions that enhance their participation in society. Reablement is an approach that enables older people to participate in meaningful daily and social activities. Over the past decade, a growing body of evidence has underscored reablement as a promising approach within dementia care, including positive outcomes for people with dementia and their family caregivers, and cost-effectiveness. However, the dissemination of knowledge about and practical implementation of reablement remain slow. This position paper, authored by the ReableDEM research network, aims to address key issues related to implementing reablement in dementia care. To expedite the adoption of reablement within dementia care, we propose five critical areas of focus: 1) - encouraging people to think about dementia as a disability from a biopsychosocial perspective; 2) - A radical change is needed in the way services are organized so that they are more holistic, personalized and resource-oriented; 3) - the workforce needs to be trained and supported to implement reablement in dementia care; 4) - services and staff that are equipped to provide reablement will be better able to involve family caregivers and the person's social network; 5) by conducting high-quality research with long-term follow-up.
世界卫生组织(WHO)承认痴呆症患者及其家庭护理人员有权获得能够增强他们社会参与度的干预措施。功能恢复是一种使老年人能够参与有意义的日常和社会活动的方法。在过去十年中,越来越多的证据强调功能恢复是痴呆症护理中一种很有前景的方法,包括对痴呆症患者及其家庭护理人员产生积极效果以及具有成本效益。然而,关于功能恢复的知识传播和实际应用仍然进展缓慢。这份由功能恢复痴呆症研究网络撰写的立场文件旨在解决痴呆症护理中实施功能恢复相关的关键问题。为了加快功能恢复在痴呆症护理中的采用,我们提出五个关键关注领域:1)鼓励人们从生物心理社会角度将痴呆症视为一种残疾;2)服务组织方式需要进行彻底变革,使其更加全面、个性化和以资源为导向;3)需要对工作人员进行培训和支持,以便在痴呆症护理中实施功能恢复;4)有能力提供功能恢复服务的机构和工作人员将更有能力让家庭护理人员和患者的社交网络参与进来;5)通过开展具有长期随访的高质量研究。