PDF(Pubmed)
Abstract：
Behavioral and psychological symptoms of dementia (BPSD) are common in hospitalized persons living with dementia (PLWD). This pilot aimed to test the feasibility of an innovative model of care, PES-4-BPSD (a dementia unit staffed with Patient Engagement Specialists, PES). Non-randomized pilot feasibility trial was conducted, enrolling N = 158 patients to the intervention unit (n = 79, a 10-bed dementia unit, staffed with nursing assistants, NAs, with mental health backgrounds, PES) and an enhanced control unit (n = 79, 40-bed medicine unit, staffed with NAs). All NAs/PES (N = 63) received dementia training, with completion rate of 82.5%. Overall, patients had ~1 NPI-Q (Neuropsychiatric Inventory Questionnaire) assessment/48 hr. 97% (n = 153) of PLWD exhibited at least one behavior. Average NPI-Q scores did not differ across intervention (5.36) and control (3.87) units (p = .23). Patients on the intervention unit had 88% (p = .002) shorter duration of constant observation. A dementia care unit staffed by PES is an innovative model requiring further research.
摘要：
痴呆的行为和心理症状(BPSD)在患有痴呆(PLWD)的住院患者中很常见。这项试点旨在测试创新护理模式的可行性，PES-4-BPSD（由患者参与专家组成的痴呆症部门，PES）。进行了非随机试点可行性试验，将N=158名患者纳入干预单元(n=79，10张病床的痴呆症单元，配备了护理助理，NAs,有心理健康背景，PES)和一个增强型控制单元(n=79，40张病床的药物单元，配备NAS）。所有NAs/PES（N=63）都接受了痴呆症训练，完成率82.5%。总的来说,患者接受了约1个NPI-Q（神经精神量表问卷）评估/48小时。97%(n=153)的PLWD表现出至少一种行为。平均NPI-Q评分在干预（5.36）和对照（3.87）单位之间没有差异（p=0.23）。干预单元的患者有88%(p=0.002)较短的持续观察时间。PES配备的痴呆症护理部门是一种创新模式，需要进一步研究。
