PDF(Pubmed)
Abstract：
People with dementia occupy 25% of the hospital beds. When they are admitted to hospitals their cognitive impairment is not considered in most of the cases. Some European and North American countries already have experience of implementing national plans about Alzheimer\'s disease and dementia. However South European countries such as Spain are in the early stages. The aim of this study is to design an Integrated Care Pathway to adapt the hospital environment and processes to the needs of people with dementia and their caregivers, generating a sense of confidence, increasing their satisfaction and protecting them from potential harmful situations. This study uses King\'s Fund Dementia Tool to assess the hospital environment and develop a continous improvement process. People with dementia, families, caregivers and healthcare staff will evaluate the different settings in order to provide guidance based on patient needs. Person-centred care, prudent healthcare and compassionate care are the conceptual framework of this care pathway. The implementation and evaluation of this research protocol will provide information about how to successfully design dementia interventions in a hospital environment within available resources in those contexts where dementia plans are in its infancy, as only around 15% of all states worldwide have currently designed a concise dementia national plan.
摘要：
痴呆症患者占医院病床的25％。当他们入院时，在大多数情况下都不考虑他们的认知障碍。一些欧洲和北美国家已经有实施关于阿尔茨海默病和痴呆症的国家计划的经验。然而，西班牙等南欧国家正处于早期阶段。这项研究的目的是设计一种综合护理路径，以使医院环境和流程适应痴呆症患者及其护理人员的需求，产生一种自信的感觉，提高他们的满意度，保护他们免受潜在的有害情况。本研究使用国王基金痴呆症工具来评估医院环境并制定持续的改进流程。痴呆症患者,家庭,护理人员和医护人员将评估不同的设置,以便根据患者需求提供指导.以人为本的护理，审慎的医疗保健和富有同情心的护理是这种护理途径的概念框架。本研究协议的实施和评估将提供有关如何在痴呆症计划处于起步阶段的情况下，在可用资源范围内的医院环境中成功设计痴呆症干预措施的信息。目前，全世界只有15%的州设计了一个简明的痴呆症国家计划。
