痴呆症患者护理工作人员调查/ Mitarbeiter/-innenbefragung zum Umgang mit Menschen mit Demenz

Christine Rungg, Aloisia Angermair, Ursula Costa, S. Neururer, Markus Moosbrugger, Waltraud Buchberger, Melanie Kriegseisen-Peruzzi, Susanne Perkhofer
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摘要

这项在因斯布鲁克大学医院进行的试点研究旨在采访员工,以优化痴呆症患者的治疗。对该医院痴呆症患病率的现有数据进行了分析,发现患者人数略有增加。一个住院部和一个门诊的护士完成了一份由德国应用护理研究所(dip, 2012)开发的标准化问卷。痴呆症是参与护理人员高度相关的话题。结果显示有可能改善疼痛管理,保证服务的连续性,和沟通技巧。护理人员根据他们对这组患者的工作回答了有关情感负担的问题。住院病人的情绪负担被认为更高。两科的参加者都表示希望痴呆症病人家属能更好地参与临床工作。最后,调查护理人员对教育支持的需求。此外,六名病人转运服务人员参加了焦点小组访谈。与处理痴呆症患者有关的具体负担类型,以及与痴呆症患者的患者运输有关的改进愿望和要求得到了表达。这项调查显示了因斯布鲁克大学医院痴呆症患者治疗的现状和进一步改善的潜力。根据这项调查的结果,制定了一项满足工作人员需要的继续教育方案,作为促成旨在改善痴呆症患者治疗的项目的措施之一。
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Staff survey on the care for persons with dementia / Mitarbeiter/-innenbefragung zum Umgang mit Menschen mit Demenz
Abstract This pilot study at the University Hospital of Innsbruck aimed to interview employees in order to optimise the treatment of patients with dementia. Available data concerning prevalence of dementia in this hospital were analysed and show a slight increase in numbers. Nurses at one inpatient department and one outpatient clinic completed a standardized questionnaire developed by the German Institute for Applied Nursing Research (dip, 2012). Dementia is a highly relevant topic for the participating nursing staff. Results show potential for improvement in pain management, assurance of continuity of services, and communication skills. Nursing staff responded questions about emotional burden, based in their work with this group of patients. The emotional burden was rated as being higher in the inpatient department. Participants from both departments expressed their wish for better involvement of dementia clients’ relatives in the clinical work. Finally, the nursing staff’s needs for educational support was surveyed. Additionally, six members of the patient transport service participated in a focus group interview. Specific types of burden related to handling patients with dementia, as well as wishes and requirements for improvement related to the patient transport for persons with dementia were expressed. The survey shows both, the current state and further potential for improvement of the treatment of patients with dementia at the University Hospital of Innsbruck. Based on the results of this survey a continuing education programme meeting staff needs was developed as one of the measures resulting in the project aiming to improve the treatment of patients with dementia.
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