Community health professionals' dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China.
Community health professionals' dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China.
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DOI：
10.1186/s12877-018-0821-4
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发表时间：
2018-05-25
期刊：
影响因子：
4.1
通讯作者：
Davies O
中科院分区：
文献类型：
--
作者：
Wang Y;Xiao LD;Luo Y;Xiao SY;Whitehead C;Davies O
社区卫生专业人员在痴呆症护理中发挥着重要作用。然而，人们对社区卫生专业人员在痴呆症护理方面的能力知之甚少，特别是在低收入和中等收入国家。本研究的目的是评估中国社区卫生专业人员对痴呆症的知识、态度和护理方式。中国是世界上痴呆症人口最多的国家，社区痴呆症护理服务非常需要。进行了横断面调查。从长沙市社区卫生服务中心随机抽取450名卫生专业人员进行研究。分别采用中文版阿尔茨海默病知识量表、痴呆症护理态度量表和老年痴呆症护理方法问卷对老年痴呆症患者的知识、态度和护理方法进行评估。共有390名参与者返回了问卷（回复率87%）。年龄、教育程度、专业群体和护理经验与知识得分相关，总体痴呆知识较差。态度一般是积极的，受年龄，专业群体，性别和护理经验。照顾痴呆症患者的经验与以人为本的护理方法呈正相关，尽管参与者倾向于不使用以人为本的护理方法。知识与态度、态度与护理方式相关（r = 0.379，P < 0.001），相关系数分别为0.143，P < 0.001。然而，痴呆症知识与以人为本的方法没有关系。社区卫生专业人员对痴呆症患者普遍持积极态度。然而，他们表现出对痴呆症的知识贫乏，并且倾向于不使用以人为本的护理方法。研究结果表明，中国迫切需要一种多方面的方法，包括对社区卫生专业人员的教育干预，以及满足社区痴呆症护理服务需求的政策和资源开发。
Community health professionals play a significant role in dementia care. However, little is known about community health professionals’ capacity in dementia care, especially in low and middle-income countries. The aim of the present study was to assess community health professionals’ dementia knowledge, attitudes and care approach in China, a country with the largest population of people with dementia in the world and where community based dementia care services are much needed. A cross-sectional survey was conducted. 450 health professionals were recruited into the study using random sampling from community health service centres in Changsha, China. Their knowledge, attitudes and care approach were assessed utilising the Chinese version of the Alzheimer’s Disease Knowledge Scale, Dementia Care Attitude Scale and Approach to Advanced Dementia Care Questionnaire respectively. A total of 390 participants returned the questionnaire (response rate 87%). Age, education, professional group and care experience were associated with knowledge scores, and overall dementia knowledge was poor. Attitudes were generally positive and influenced by age, professional group, gender and care experience. The experience of caring for people with dementia was positively associated with a person-centred care approach, although the participants tended not to use a person-centred care approach. A statistically significant association was found between knowledge and attitudes (r = 0.379, P < 0.001), and between attitudes and care approach (r = 0.143, P < 0.001). However, dementia knowledge has no relationship with a person-centred approach. Community health professionals showed generally positive attitudes towards people with dementia. However, they demonstrated poor dementia knowledge and tended not to use a person-centred care approach. The results suggest that a multifaceted approach consisting of educational interventions for community health professionals, and policy and resource development to meet the demand for community dementia care services, is urgently needed in China.
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