Panella J J, Lilliston B A, Brush D, McDowell F H
J Am Geriatr Soc. 1984 Dec;32(12):883-6. doi: 10.1111/j.1532-5415.1984.tb00887.x.
A day care program for patients with dementia was developed by the Burke Rehabilitation Center in 1979. Sixty-nine patients have taken part in the program, some for as long as three years. The majority of patients stay in the program for one to two years. This pilot program was designed to provide a structured series of daily activities for the patient with dementia and to give those responsible for their care at home a period of freedom each week from the responsibilities of care. The program has been well received by the patients and appreciated by their families. It has not altered the steady progression of intellectual decline. It has made it possible for families to continue to keep patients at home and delay nursing placement or the hiring of additional help at home. It is cost effective when compared with the general alternative of nursing home placement. Similar programs could be conducted outside health care facilities at lower cost to patients and their families. Family support group discussions have eased the burden for the caregiver and have been useful in discovering new ideas for better patient management.
1979年，伯克康复中心开发了一项针对痴呆症患者的日托项目。69名患者参与了该项目，部分患者参与时间长达三年。大多数患者在该项目中停留一到两年。这个试点项目旨在为痴呆症患者提供一系列有组织的日常活动，并让那些在家照顾患者的人每周有一段时间从护理责任中解脱出来。该项目受到了患者的好评，并得到了他们家人的赞赏。它并没有改变智力衰退的稳定进程。它使家庭能够继续让患者居家，并推迟送进疗养院或在家中雇佣额外的护理人员。与送进疗养院这一普遍选择相比，它具有成本效益。类似的项目可以在医疗保健机构之外以更低的成本为患者及其家人开展。家庭支持小组讨论减轻了护理人员的负担，并有助于发现更好管理患者的新方法。
