痴呆症患者的照顾者可能会经历健康和幸福感下降,但很少有人知道如何最好地支持他们。有一些证据表明,病例管理可能会改善护理人员的预后,但有关病例管理服务可以有效支持痴呆症患者护理人员的特征的证据较少。海军上将护理采用由专科护士组成的病例管理方法,是英国唯一致力于帮助痴呆症患者及其护理人员的同类服务。本文报告了海军上将护理混合方法研究的定性结果。对于项目的定性链,我们在焦点小组和对痴呆症患者照顾者的深度访谈中收集了数据(n=35),并使用框架方法进行了主题分析.这项分析的目的是了解我们样本中有和没有海军上将护理的护理人员的经验之间的差异,应用弗里曼的护理连续性模型(弗里曼等人。,持续的护理,2000).接受过海军上将护理的参与者是从两个地理位置招募的,没有这项服务经验的护理人员是从两个不同的地区招募的。我们发现,样本中的护理人员在接受海军上将护士或其他具有痴呆症专业知识的专业人士的持续服务的情况下感到“支持”,他们能够随着时间的推移与他们建立有意义的关系。我们的结论是,持续的支持,痴呆症的专业知识和有意义的关系是关系连续性的关键特征,在照顾者的感觉支持报告中很常见。专科护士很适合提供这种连续性。
Carers of people with dementia can experience reduced health and well-being, but little is known about how best to support them. There is some evidence to suggest that
case management may improve outcomes for carers but less evidence about the features of
case management services that can effectively support carers of people with dementia. Admiral Nursing operates a
case management approach staffed by specialist nurses and is the only service of its kind in the United Kingdom dedicated to helping people with dementia and their carers. This paper
reports qualitative findings from a mixed methods study of Admiral Nursing. For the qualitative strand of the project, data were collected in focus groups and in-depth interviews with carers of people with dementia (n = 35) and analysed thematically using the framework approach. The aim of this analysis was to understand differences between the experiences of the carers in our sample with and without Admiral Nursing, applying Freeman\'s model of continuity of care (Freeman et al., Continuity of care, 2000). Participants who had received Admiral Nursing were recruited from two geographical locations and carers without experience of this service were recruited from two different areas. We found that carers in our sample felt \'supported\' in circumstances where they received an ongoing service from an Admiral Nurse or other professional with expertise in dementia who was able to develop a meaningful relationship with them over time. We conclude that ongoing support, expertise in dementia and a meaningful relationship are key features of relationship continuity common in carers\'
reports of feeling supported. Specialist nurses are well placed to provide this continuity.