与住院痴呆症患者的护理伙伴识别和教育相关的因素

PEC innovation Pub Date : 2024-07-08 DOI:10.1016/j.pecinn.2024.100320

Austin R. Medlin , Nicole E. Werner , Catherine Z. Still , Andrea L. Strayer , Beth E. Fields

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引用次数: 0

摘要

目标痴呆症患者（PLWD）的护理伙伴常常感到没有做好护理亲人的准备。改善痴呆症患者护理伙伴的识别和住院期间的教育可以提高其准备程度。这项回顾性电子病历研究调查了可能与住院期间护理伙伴识别、教育和教学方法有关的痴呆症患者特征。患者年龄在 18 岁以上，有痴呆诊断记录，入院时间至少 24 小时，护理伙伴或教育数据字段中有记录信息（N = 7982）。逻辑回归评估了患者的人口统计学特征、护理伙伴身份和教育情况。结果未婚、出院后去了其他护理机构或被诊断为 "酒精导致神经系统退化 "的 PLWD 患者与缺乏护理伙伴识别有关。未婚或诊断为 "阿尔茨海默病，未明确诊断 "的残疾人的护理伙伴接受的教育较少。多种教学方法与出院地点有关。结论多种特征与 PLWD 护理伙伴识别和住院期间的教育差异有关。创新性新颖的分析突出表明，有必要制定一项协议，为痴呆症护理伙伴做好系统准备。

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Factors associated with care partner identification and education among hospitalized persons living with dementia

Objective

Care partners of persons living with dementia (PLWD) often feel unprepared to care for their loved ones. Improving PLWD care partner identification and education during hospital stays can improve preparedness. This retrospective EHR study investigated PLWD characteristics that may relate to care partner identification, education, and teaching methods during hospital stays.

Methods

Encounters from a Midwestern academic healthcare system were used. Patients were over 18, had a documented dementia diagnosis, were admitted to the hospital for at least 24 h, and had information documented in care partner or education data fields (N = 7982). Logistic regressions assessed patient's demographics, care partner identification and education. Chi-square tests compared education teaching methods and patient discharge location.

Results

PLWD's who were unmarried, discharged to other care facilities, or received the diagnosis “degeneration of nervous system due to alcohol” were associated with lacking care partner identification. Care partners of unmarried PLWDs or those with the diagnosis “Alzheimer's disease, unspecified” received less education. Multiple teaching methods were associated with discharge location.