护理人员对痴呆症患者护理的认知及其在养老院和家庭护理中的关联——一项定量研究
The Knowledge of Caregivers About Care for People Living With Dementia and Its Associations in Nursing Homes and Home Care-A Quantitative Study.
作者信息
Bosman Sabien Johanna Everdina, Abbink Marlijn, Lovink Marleen Hermien, Persoon Anke
机构信息
Ideon, Angeren, the Netherlands.
Department of Primary and Community Care, Radboud University Nijmegen, Medical Center, Nijmegen, the Netherlands.
出版信息
Nurs Open. 2025 Jul;12(7):e70263. doi: 10.1002/nop2.70263.
AIM
This study is intended to generate insight into the knowledge possessed by formal caregivers in the Netherlands about care for people living with dementia. More specifically, it explores the association between the knowledge and characteristics of caregivers in nursing homes and home care. The formal caregivers included in this study served a variety of functions, primarily as nursing staff.
DESIGN
A quantitative retrospective cohort study.
METHODS
We analysed two datasets based on two Dementia Knowledge Monitors (DKMs): one for the nursing-home setting (DKM-NH; n = 5807) and one for the home-care setting (DKM-HC; n = 532). Total scores and subscale scores ranged from 0 to 100. Analyses were conducted at both the total level and the subscale level.
RESULTS
On average, nursing-home caregivers scored 68.3 out of 100, as compared to 62.9 for home caregivers. Scores for nursing-home caregivers were associated with age, function, educational training, region and experience (working in a specialised dementia department, private experience and years of working in a nursing home). Scores for home caregivers were associated with function, age and the number of PwD for whom they had provided care.
CONCLUSION
Knowledge of dementia care leaves room for improvement for formal caregivers in all functions, in both nursing-home and home-care settings. Professional function, experience with dementia and previous extra training have a significant impact on a caregiver's level of knowledge concerning dementia care.
PUBLIC CONTRIBUTION
Offering educational programmes to caregivers could increase dementia-care knowledge. Additionally, caregiver experience in caring for PwD could potentially be optimised through short internships, shadowing and staff retention. Future research should explore valid, effective and attractive educational programmes for the various functional groups, in addition to identifying strategies for accelerating the process of acquiring experience in care for people with dementia.
目的
本研究旨在深入了解荷兰正规护理人员对痴呆症患者护理的知识掌握情况。更具体地说，它探讨了养老院和家庭护理中护理人员的知识与特征之间的关联。本研究纳入的正规护理人员履行多种职能，主要为护理人员。
设计
定量回顾性队列研究。
方法
我们基于两个痴呆症知识监测器（DKM）分析了两个数据集：一个用于养老院环境（DKM-NH；n = 5807），一个用于家庭护理环境（DKM-HC；n = 532）。总分和子量表分数范围为0至100。在总分水平和子量表水平上均进行了分析。
结果
平均而言，养老院护理人员的得分为68.3分（满分100分），而家庭护理人员为62.9分。养老院护理人员的得分与年龄、职能、教育培训、地区和经验（在专门的痴呆症科室工作、个人经验以及在养老院工作的年限）相关。家庭护理人员的得分与职能、年龄以及他们所护理的痴呆症患者数量相关。
结论
在养老院和家庭护理环境中，所有职能的正规护理人员在痴呆症护理知识方面都有改进的空间。专业职能、痴呆症护理经验和先前的额外培训对护理人员关于痴呆症护理的知识水平有重大影响。
公众贡献
为护理人员提供教育项目可以增加痴呆症护理知识。此外，通过短期实习、跟随学习和留住员工，有可能优化护理人员照顾痴呆症患者的经验。未来的研究除了确定加速获取痴呆症患者护理经验的策略外，还应探索针对不同职能群体的有效、有吸引力的教育项目。
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