학술논문
Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study.
Document Type
Academic Journal
Author
Chenoweth L; Centre for Healthy Brain Ageing, Faculty of Medicine, University of New South Wales (Sydney), Sydney, NSW, Australia.; Williams A; School of Nursing (Sydney), The University of Notre Dame Australia, Fremantle, NSW, Australia.; Fry M; Northern Sydney Local Health District, Sydney; Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.; Endean E; The Sutherland Hospital, Sydney, NSW, Australia.; Liu Z; Stats Central, University of New South Wales (Sydney), Sydney, NSW, Australia.
Source
Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8300869 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-2301 (Electronic) Linking ISSN: 07317115 NLM ISO Abbreviation: Clin Gerontol Subsets: MEDLINE
Subject
Language
English
Abstract
Objectives: This pilot study assessed clinical outcomes and quality care for persons with dementia in an acute hospital with PCC, compared with usual care.
Methods: Forty-seven consented persons 60 years and over with dementia were assigned to PCC (n = 26) or usual care (control) (n = 21). Hospital nurses and allied health staff received 3 h of face-to-face education in PCC, and practice support by four PCC-trained nurse champions. Control group staff received 3 h of face-to-face education on dementia and delirium care clinical guidelines. Primary outcomes behavioral/neuropsychiatric symptoms and care quality were analyzed based on repeated measures at baseline (Time 1), 4-5 days after baseline (Time 2) and day 8-10 after baseline (Time 3) where available.
Results: Compared with controls, at Time 2 PCC produced statistically significant improvements in behavioral/neuropsychiatric symptoms (adjusted p = .036) and care quality (adjusted p = .044). Where length of stay exceeded 8 days after baseline (Time 3), there was a sustained improvement in quality care ( p = .007), but not in behavioral/neuropsychiatric symptoms ( p = .27).
Conclusions: PCC can improve care quality for persons with dementia; nursing; agitation; paid caregivers with dementia and reduce behavioral/neuropsychiatric symptoms during short hospital stays.
Clinical Implications: Hospital systems need to support PCC to reduce behavioral/neuropsychiatric symptoms in dementia during long hospital stays.
Methods: Forty-seven consented persons 60 years and over with dementia were assigned to PCC (n = 26) or usual care (control) (n = 21). Hospital nurses and allied health staff received 3 h of face-to-face education in PCC, and practice support by four PCC-trained nurse champions. Control group staff received 3 h of face-to-face education on dementia and delirium care clinical guidelines. Primary outcomes behavioral/neuropsychiatric symptoms and care quality were analyzed based on repeated measures at baseline (Time 1), 4-5 days after baseline (Time 2) and day 8-10 after baseline (Time 3) where available.
Results: Compared with controls, at Time 2 PCC produced statistically significant improvements in behavioral/neuropsychiatric symptoms (adjusted p = .036) and care quality (adjusted p = .044). Where length of stay exceeded 8 days after baseline (Time 3), there was a sustained improvement in quality care ( p = .007), but not in behavioral/neuropsychiatric symptoms ( p = .27).
Conclusions: PCC can improve care quality for persons with dementia; nursing; agitation; paid caregivers with dementia and reduce behavioral/neuropsychiatric symptoms during short hospital stays.
Clinical Implications: Hospital systems need to support PCC to reduce behavioral/neuropsychiatric symptoms in dementia during long hospital stays.