Improving quality of life of people with dementia living in residential care facilities a randomised trail of educat int

这项直接研究旨在确定全科医生(GP)和住院护理人员的教育是否可以改善居住在住院护理设施(RCF)的痴呆症患者的生活质量(QOL)。我们的假设是，向全科医生和RCF工作人员提供系统的教育干预将改善护理提供，导致住院护理接受者生活质量的可衡量改善。我们假设，向全科医生提供的教育将对向区域合作伙伴关系工作人员提供的教育产生附加影响。痴呆症是造成澳大利亚老年人非致命性疾病负担的主要原因。在痴呆症患者中，近一半生活在RCF。似乎有很大的空间来改善居住在住宿设施中的痴呆症患者的护理，从而提高他们的生活质量。然而，将关于高质量护理组成部分的知识转化为实践的最有效方法是不确定的，而且澳大利亚缺乏指导实践的数据。RCF工作人员的教育很可能是改善对患有痴呆症的住院护理接受者的护理的基石。全科医生还在照顾居住在区域合作框架内的老年人方面发挥关键作用，包括在制定管理计划、开药处方和启动健康转诊方面进行合作。将利用从调查、重点小组和试点收集的数据进行详细的行动研究过程，以制定教育方案，交付给全科医生和区域合作框架工作人员。这项研究的主要结果将是痴呆症患者的生活质量，由他们自己、他们的家庭照顾者和照顾他们的工作人员评估。将使用几种结合不同信息来源的工具来全面评估生活质量。次要结果将包括全科医生和RCF工作人员关于痴呆症的知识、高质量护理的标志、参与者的睡眠质量和护理人员的满意度。预计这一结果将填补目前证据上的空白，并将对来自住宅护理行业、匹克社区和普通执业机构的政策制定者和利益相关者具有价值。研究结果将对院舍护理部门的东主、经理和员工以及政策制定者产生切实的影响。这一结果有可能直接惠及患者和护理人员的生活质量。

The DIRECT study aims to determine if education of General Practitioners (GPs) and Residential Care Staff can improve the quality of life (QOL) of people with dementia living in Residential Care Facilities (RCF). Our hypothesis is that a systematic educational intervention delivered to GPs and RCF staff will improve care delivery, leading to measurable improvements in the quality of life of residential care recipients. We hypothesise that education delivered to GPs will have additive effects to education delivered to RCF staff. Dementia is the leading cause of non-fatal disease burden among older Australians. Of people with dementia, nearly half live in RCF. There appears to be much scope to improve care, and thus QOL, for people with dementia living in residential facilities. However, the most effective way to translate knowledge regarding the components of high quality care into practice is uncertain and there is a paucity of Australian data to guide practice. Education of RCF staff is likely to be the cornerstone of improved care for recipients of residential care who have dementia. GPs also play a key-role in the care of older people living in RCF, including collaboration in the development of management plans, prescription of medications and initiation of health referrals. A detailed action research process with data collected from surveys, focus groups and pilots will be used to develop educational programmes for delivery to GPs and RCF staff. The primary outcome of the study will be quality of life of the people with dementia, assessed by themselves, their family carers and the staff looking after them. Several tools incorporating different sources of information will be used to assess QOL in a comprehensive fashion. Secondary outcomes will include knowledge among GPs and RCF staff regarding dementia, markers of quality care, participants’ sleep quality, and carer satisfaction. It is anticipated that the results will fill this current gap in evidence and will be of value to policy makers and stakeholders from the Residential Care Industry and Peak Community and General Practice bodies. The study results will have tangible implications for proprietors, managers and staff from the residential care sector and policy makers. The results have potential to directly benefit the quality of life of both patients and carers.