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通过“布拉沃·祖鲁”增强护理伙伴支持痴呆症患者的能力:在以关系为中心的痴呆症护理中追求卓越

Increasing Care Partners' Capacity for Supporting Individuals Living with Dementia Through Bravo Zulu: Achieving Excellence in Relationship-Centered Dementia Care.

作者信息

Carson Jennifer, Koswatta Taniya J, Hoeper Samantha, Reed Peter S

机构信息

Dementia Engagement, Education, and Research (DEER) Program, School of Public Health, University of Nevada, Reno, NV 89557, USA.

Department of Health Behavior, Policy and Administration Sciences, School of Public Health, University of Nevada, Reno, NV 89557, USA.

出版信息

Int J Environ Res Public Health. 2025 Jun 20;22(7):970. doi: 10.3390/ijerph22070970.

DOI:10.3390/ijerph22070970
PMID:40724037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12294183/
Abstract

The need for person- and relationship-centered care (PCC/RCC) in Alzheimer's disease and other dementias is well established. Recognizing the limitations of PCC in fully honoring the intricate interdependencies between care partners and persons living with dementia, a new training program called Bravo Zulu was developed. This comprehensive, 12-hour dementia training program aims to enhance personhood beliefs and self-efficacy among care partners, improving the experience of care and support for both people living with dementia and their care partners. Responses from 182 participants who completed the training were analyzed using paired t-tests to assess changes in personhood beliefs and self-efficacy. The Bravo Zulu training produced significant increases in both personhood beliefs and self-efficacy. Notably, healthcare professionals without prior care partner training exhibited the greatest gains in personhood beliefs, while participants who were not direct care partners showed substantial improvements in self-efficacy. Overall, these findings support the concept of tailoring dementia education to ensure care partners and healthcare professionals are able to provide culturally competent care that is aligned with the diverse backgrounds of people living with dementia. Expanding access to high-quality interactive programs such as Bravo Zulu can contribute to strengthening the dementia care workforce and improving care experiences for all involved.

摘要

在阿尔茨海默病和其他痴呆症中,以个人和关系为中心的护理(PCC/RCC)的必要性已得到充分确立。认识到PCC在充分尊重护理伙伴与痴呆症患者之间复杂的相互依存关系方面存在局限性,一个名为“Bravo Zulu”的新培训项目应运而生。这个为期12小时的全面痴呆症培训项目旨在增强护理伙伴的个人信念和自我效能感,改善痴呆症患者及其护理伙伴的护理和支持体验。使用配对t检验分析了182名完成培训的参与者的回复,以评估个人信念和自我效能感的变化。“Bravo Zulu”培训使个人信念和自我效能感均显著提高。值得注意的是,之前没有接受过护理伙伴培训的医疗保健专业人员在个人信念方面的提升最大,而不是直接护理伙伴的参与者在自我效能感方面有显著改善。总体而言,这些发现支持了量身定制痴呆症教育的理念,以确保护理伙伴和医疗保健专业人员能够提供符合文化能力要求的护理,这种护理与痴呆症患者的不同背景相契合。扩大对诸如“Bravo Zulu”这样的高质量互动项目的参与度,有助于加强痴呆症护理队伍,并改善所有相关人员的护理体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca1/12294183/cf8af49d77b1/ijerph-22-00970-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca1/12294183/75df14a5325f/ijerph-22-00970-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca1/12294183/cf8af49d77b1/ijerph-22-00970-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca1/12294183/75df14a5325f/ijerph-22-00970-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca1/12294183/cf8af49d77b1/ijerph-22-00970-g002.jpg

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