Changes in Health Risks, Daily Activities and Antipsychotic Use After Humanitude Care for People With Dementia: A Retrospective Study.

IF 3.2 3区 医学 Q1 NURSING
Sungjun Kim, Jiyoung Kim, SungWoo Chung, Ju Young Sim
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引用次数: 0

Abstract

Aim: This study examined changes in health risk, daily activities and antipsychotic use after receiving Humanitude care for people with dementia.

Design: Retrospective study design.

Methods: A total of 67 people with dementia were admitted to two municipal nursing hospitals and were receiving Humanitude care. Participants' medical records were collected at 5 time points: February 2023 (6 months before), May 2023 (3 months before), August 2023 (when over 70% of healthcare workers completed Level 1 Humanitude care training), November 2023 (3 months after) and February 2024 (6 months after). The changes were analysed using a generalised estimating equation model.

Results: A statistically significant change in the fall risk group was observed in August 2023, November 2023 and February 2024, with 6%, 11% and 19% increases in the odds of moving to a lower-risk group, respectively, compared to February 2023. In the activities of daily living subscale, gargling showed significant changes in November 2023 and February 2024. This resulted in 62.7% and 58.7% increases in the odds of moving to the high-independence category, respectively. The number of antipsychotic agents used was significantly lower in February 2024 (3.82) compared to that in February 2023 (4.47), May 2023 (4.74) and August 2023 (4.6).

Conclusions: The results demonstrate that Humanitude care significantly contributes to reducing fall risk, improving gargling in activities of daily living and decreasing the number of antipsychotic agents in people with dementia.

Impact: Problem the study addresses: The impact of Humanitude care remains understudied.

Main findings: Humanitude care helps in not only reducing health risks but also circumventing coercive pharmacological treatments. Impact on research: Humanitude care focuses on the dignity and autonomy of people with dementia.

Reporting method: This study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology.

Patient or public contribution: No patient or public involvement.

痴呆症患者人文关怀后健康风险、日常活动和抗精神病药物使用的变化:一项回顾性研究
目的:本研究考察了痴呆症患者接受人道关怀后健康风险、日常活动和抗精神病药物使用的变化。设计:回顾性研究设计。方法:67例痴呆患者在两所市级护理医院接受人性化护理。在5个时间点收集参与者的医疗记录:2023年2月(6个月前)、2023年5月(3个月前)、2023年8月(超过70%的医护人员完成了1级人道关怀培训)、2023年11月(3个月后)和2024年2月(6个月后)。使用广义估计方程模型分析了这些变化。结果:与2023年2月相比,2023年8月、2023年11月和2024年2月,跌倒风险组发生了统计学上显著的变化,转向低风险组的几率分别增加了6%、11%和19%。在日常生活活动亚量表中,漱口在2023年11月和2024年2月发生了显著变化。这导致进入高度独立类别的几率分别增加了62.7%和58.7%。与2023年2月(4.47)、2023年5月(4.74)和2023年8月(4.6)相比,2024年2月(3.82)的抗精神病药物使用数量明显减少。结论:人文关怀可显著降低痴呆患者的跌倒风险,改善日常生活活动中的漱口,减少抗精神病药物的使用。影响:研究解决的问题:人道关怀的影响仍未得到充分研究。主要发现:人性化护理不仅有助于降低健康风险,而且可以避免强制性药物治疗。对研究的影响:人道关怀侧重于痴呆症患者的尊严和自主性。报告方法:本研究遵循《加强流行病学观察性研究报告》进行。患者或公众贡献:无患者或公众参与。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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