Leon Tomas, Troncoso Deiza, Barria Soledad, Kaczmarska Magda, Lawlor Brian, Slachevsky Andrea
University of Chile, Hospital del Salvador, Faculty of Medicine, Memory and Neuropsychiatric Centre, Neurology Department, Santiago, Chile.
Trinity College, Dublin, Ireland.
Arq Neuropsiquiatr. 2025 Jul;83(7):1-6. doi: 10.1055/s-0045-1809544. Epub 2025 Jul 2.
Most guidelines recommend that people living with dementia and their care partners should be managed in primary care. However, the knowledge and confidence of these teams in managing dementia is low, and training programs are lacking.To identify the training needs of primary care teams by integrating insights from these professionals, as well as dementia patients and their care partners.Qualitative research methods were applied, using focus group interviews with health professionals and individual interviews with people living with dementia and their care partners. A direct qualitative analysis of 15 recorded interviews (3 focus groups and 12 individuals) was performed using the transcribed data.Primary care professionals recognize the importance of continuous education on dementia and expressed the need for more knowledge about diagnosis, symptom management, and interpersonal and communication skills. Care partners and dementia patients highlighted the need for a better diagnostic disclosure process, improved continuity of care, and availability of greater postdiagnosis support.Our study, novel in Latin America, strongly supported the need for more training in dementia for primary care professionals, as well as for additional content and information not usually included in standard dementia education.
大多数指南建议，痴呆症患者及其护理伙伴应由初级保健机构进行管理。然而，这些团队在管理痴呆症方面的知识和信心较低，且缺乏培训项目。通过整合这些专业人员以及痴呆症患者及其护理伙伴的见解，来确定初级保健团队的培训需求。采用了定性研究方法，对卫生专业人员进行焦点小组访谈，并对痴呆症患者及其护理伙伴进行个人访谈。使用转录数据对15次记录访谈（3个焦点小组和12个人）进行直接定性分析。初级保健专业人员认识到痴呆症继续教育的重要性，并表示需要更多关于诊断、症状管理以及人际和沟通技巧方面的知识。护理伙伴和痴呆症患者强调需要更好的诊断告知过程、改善护理连续性以及提供更多诊断后的支持。我们的研究在拉丁美洲具有创新性，有力地支持了初级保健专业人员需要接受更多痴呆症培训，以及需要增加标准痴呆症教育中通常未包含的其他内容和信息。
