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基于能力的培训提升了家庭护理人员的痴呆症知识和技能。

Competency-based training boosts dementia knowledge and skills in home care workers.

作者信息

Yeh Jarmin, Beld Matthew, Pond Brittney, Neri Melinda, Garcia Andrea, Mata-Pacheco Juliana, Mauricio Juvenal, Castanenda Moraima, Eldridge Corinne, Martinez Suzanna

机构信息

Institute for Health & Aging, University of California, San Francisco, California, USA.

Department of Social & Behavioral Sciences, University of California, San Francisco, California, USA.

出版信息

Alzheimers Dement. 2025 Jun;21(6):e70323. doi: 10.1002/alz.70323.

DOI:10.1002/alz.70323
PMID:40538020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179336/
Abstract

INTRODUCTION

The rising prevalence of Alzheimer's disease and related dementias (ADRD) in California's aging population necessitates a well-trained dementia care workforce.

METHODS

This study evaluated a multi-week, competency-based, online training for caregivers in California's Medicaid-funded In-Home Supportive Services (IHSS) program. Using a quasi-experimental design, we assessed caregivers' dementia knowledge, self-efficacy, distress, depression, and care recipients' healthcare use before and after the intervention.

RESULTS

The training significantly improved caregivers' dementia knowledge and self-efficacy but did not reduce caregivers' distress and depression, nor decrease care recipients' emergency room visits and hospitalizations.

DISCUSSION

The findings highlight the value of specialized dementia training in enhancing caregiver knowledge and skills, which could be implemented outside California. Clinical implications include bolstering caregiver well-being to improve the quality of their support of care recipients with cognitive impairment. Policy implications include expanding access to training programs and bolstering workforce development initiatives that improve caregiver and care recipient outcomes.

HIGHLIGHTS

Multiweek online training improved home care workers' dementia caregiving skills. Home care workers' dementia knowledge improved significantly post-training. Self-efficacy to manage care recipients' dementia symptoms improved significantly.

摘要

引言

加利福尼亚州老年人口中阿尔茨海默病及相关痴呆症（ADRD）的患病率不断上升，因此需要一支训练有素的痴呆症护理人员队伍。

方法

本研究评估了一项针对加利福尼亚州医疗补助资助的居家支持服务（IHSS）项目中护理人员的、为期数周的、基于能力的在线培训。采用准实验设计，我们在干预前后评估了护理人员的痴呆症知识、自我效能感、困扰、抑郁情况以及护理对象的医疗服务使用情况。

结果

该培训显著提高了护理人员的痴呆症知识和自我效能感，但并未减轻护理人员的困扰和抑郁，也未减少护理对象的急诊就诊次数和住院次数。

讨论

研究结果凸显了专业痴呆症培训在提高护理人员知识和技能方面的价值，这种培训可在加利福尼亚州以外实施。临床意义包括增强护理人员的幸福感，以提高他们对认知障碍护理对象的支持质量。政策意义包括扩大培训项目的可及性，并加强劳动力发展举措，以改善护理人员和护理对象的结局。

要点

为期数周的在线培训提高了家庭护理人员的痴呆症护理技能。培训后，家庭护理人员的痴呆症知识显著提高。管理护理对象痴呆症状的自我效能感显著提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/8096e2546f00/ALZ-21-e70323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/e425435ce728/ALZ-21-e70323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/6ce21e5f2f1e/ALZ-21-e70323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/ff637756b20b/ALZ-21-e70323-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/30633a52e40f/ALZ-21-e70323-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/f4b50440e6c6/ALZ-21-e70323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/5e1312967c4a/ALZ-21-e70323-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/1329a4a73bc1/ALZ-21-e70323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/8096e2546f00/ALZ-21-e70323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/e425435ce728/ALZ-21-e70323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/6ce21e5f2f1e/ALZ-21-e70323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/ff637756b20b/ALZ-21-e70323-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/30633a52e40f/ALZ-21-e70323-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/f4b50440e6c6/ALZ-21-e70323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/5e1312967c4a/ALZ-21-e70323-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/1329a4a73bc1/ALZ-21-e70323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9a/12179336/8096e2546f00/ALZ-21-e70323-g001.jpg

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