Dementia care and quality of life in assisted living and nursing homes
Dementia care and quality of life in assisted living and nursing homes
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DOI：
10.1093/geront/45.suppl_1.133
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发表时间：
2005-10-01
期刊：
影响因子：
5.7
通讯作者：
Dobbs, D
中科院分区：
文献类型：
--
作者：
Zimmerman, S;Sloane, PD;Dobbs, D
目的：关于长期护理对痴呆症患者生活质量影响的实证研究很少。这项研究将住宅护理/辅助生活(RC/AL)设施和养老院中的痴呆症护理要素与居民的生活质量联系起来，并考虑这些信息为实践和政策提供的指导。设计和方法：我们使用多种护理结构和过程的报告和观察性测量以及11种标准化的生活质量测量来评估4个州的35个RC/AL机构和10个养老院的421名痴呆症患者的护理和生活质量。现场横断面收集数据，通过电话进行为期6个月的随访。结果：在使用专门工作人员方法的设施中，生活质量的变化更好，在更多的痴呆症护理中心领域培训更多的工作人员，并鼓励参与活动。当工作人员更多地参与护理规划，当工作人员的态度更有利时，居民认为他们的生活质量更好。根据护理提供者的观察和报告，更好的驻地-工作人员沟通与更高的生活质量有关。此外，更稳定的驻地工作人员分配与护理提供者较低的生活质量评级有关。影响：居民生活质量的改善可以通过改进工作人员的培训和部署来实现。
Purpose: There are few empirical studies relating components of long-term care to quality of life for residents with dementia. This study relates elements of dementia care in residential care/assisted living (RC/AL) facilities and nursing homes to resident quality of life and considers the guidance this information provides for practice and policy. Design and Methods: We used a variety of report and observational measures of the structure and process of care and 11 standardized measures of quality of life to evaluate the care for and quality of life of 421 residents with dementia in 35 RC/AL facilities and 10 nursing homes in four states. Data were collected cross sectionally on-site, and we conducted a 6-month follow-up by telephone. Results: Change in quality of life was better in facilities that used a specialized worker approach, trained more staff in more domains central to dementia care, and encouraged activity participation. Residents perceived their quality of life as better when staff was more involved in care planning and when staff attitudes were more favorable. Better resident-staff communication was related to higher quality of life as observed and reported by care providers. Also, more stable resident-staff assignment was related to care providers' lower quality-of-life ratings. Implications: Improvement in resident quality of life may be achieved by improved training and deployment of staff.