Behavioural management in nursing and residential homes: a randomised controlled trial
Behavioural management in nursing and residential homes: a randomised controlled trial
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DOI：
10.1016/s0140-6736(98)08237-3
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发表时间：
1999-07-03
期刊：
影响因子：
168.9
通讯作者：
Davies, L
中科院分区：
文献类型：
--
作者：
Proctor, R;Burns, A;Davies, L
背景 随着越来越多的老年人在住宅和疗养院接受护理，如何才能最好地满足他们的精神需求？我们报告了老年精神病医院外展团队对行为干预的评估。方法这项为期 6 个月的培训和教育干预随机对照试验在英国曼彻斯特南部进行。 12 个匹配的疗养院和疗养院被随机分为对照组或干预组，工作人员在每个组中选择了 10 名因行为问题而难以照顾的居民。干预之家的护理人员参加了医院外展团队的研讨会，接受了认知障碍和抑郁、行为障碍和功能能力的测量，并评估了护理计划技能的发展。主要结果指标是认知障碍和抑郁，分别通过老年精神状态表、Crichton Royal行为评定量表和Barthel指数进行。结果干预组中的居民的抑郁得分（变化前后差异-0.5 [95% CI -0.8至-0.1]）和认知障碍得分（-0.7 [-1.1至-0.2]）显着改善，但行为评级或Barthel指数没有显着改善。 解释 老年居民可以受益于医院外展团队提供的培训所提供的护理质量的提高。
Background As more and more elderly people are being cared for in residential and nursing homes, how best can their psychiatric needs be met? We report on evaluation of a behavioural intervention by an old-age psychiatry hospital outreach team.Methods This randomised controlled trial of a training and education intervention over 6 months was done in south Manchester, UK. 12 matched nursing and residential homes were randomised to the control or intervention group and within each, the staff selected 10 residents whose behavioural problems made them difficult to care for. Care staff in the intervention homes attended seminars from the hospital outreach team and received measures were cognitive impairment and depression, behavioural disturbance, and functional ability, assessed developing care planning skills. The main outcome measures were cognitive impairment and depression, by the geriatric mental state schedule, Crichton Royal behaviour rating scale, and Barthel index, respectively.Findings Residents in the intervention group had significantly improved scores for depression (before-and-after change difference -0.5 [95% CI -0.8 to -0.1]) and for cognitive impairment (-0.7 [-1.1 to -0.2]) but not for behaviour rating or Barthel index.Interpretation Elderly residents can benefit from improved quality of care achieved training from a hospital outreach team.