Evaluating the Impact of an Emotion-Focused Model of Dementia Care on Patient Outcomes in Acute Care Settings.

IF 1.8 Q4 GERIATRICS & GERONTOLOGY

Canadian Geriatrics Journal Pub Date : 2026-03-04 eCollection Date: 2026-03-01 DOI:10.5770/cgj.29.858

Shailesh Nadkarni, Samin Barakati, Neil Dinesh Dattani, Sudip Saha

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引用次数: 0

Abstract

Emotion-focused model of care delivery creates a supportive environment for persons with dementia. There is a lack of certainty regarding one such emotion-focused model's effectiveness (Butterfly) in an acute care environment, primarily because prior research has been confined to long-term care (LTC) facilities. Studies have demonstrated reduced neuropsychiatric symptoms (NPS) when person-centred dementia care models are deployed for persons living with dementia (PLWD). A multi-site cross-sectional design assessed NPS in PLWD using the NPI-Q scale in hospitalized patients on a Emotion-focused unit for 7-21 days. We identified 177 PLWD (88 from an acute care for elderly unit, 89 from general medicine units). The two cohorts had 40 female and 48 male patients in the ACE unit and 35 female and 54 male patients in the general medicine unit. The average age between the two groups was 83 and 84 yrs, respectively. NPI-Q symptom severity was lower on the ACE unit in comparison to the general medicine unit. Mean improvement for motor behaviours and sleep were significant. Caregiver distress scores were significantly lower for delusions, agitation, anxiety, irritability, motor behaviour and sleep. Emotion-focused care made a statistically significant change in NPS severity and caregiver distress when compared to care provided in general medicine units.

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评估以情绪为中心的痴呆症护理模式对急性护理环境中患者预后的影响。

以情感为中心的护理模式为痴呆症患者创造了一个支持性的环境。关于这种以情绪为中心的模型在急性护理环境中的有效性（蝴蝶）缺乏确定性，主要是因为先前的研究仅限于长期护理（LTC）设施。研究表明，当对痴呆症患者（PLWD）采用以人为中心的痴呆症护理模式时，神经精神症状（NPS）会减少。一项多点横断面设计采用NPI-Q量表评估了在情绪中心病房住院7-21天的PLWD患者的NPS。我们确定了177例PLWD（88例来自老年急症护理单位，89例来自普通医学单位）。这两个队列在ACE单元有40名女性和48名男性患者，在普通医学单元有35名女性和54名男性患者。两组患者的平均年龄分别为83岁和84岁。与普通医学组相比，ACE组的NPI-Q症状严重程度较低。运动行为和睡眠的平均改善是显著的。照顾者在妄想、躁动、焦虑、易怒、运动行为和睡眠方面的痛苦得分明显较低。与普通医学单位提供的护理相比，以情绪为中心的护理在NPS严重程度和护理者痛苦方面产生了统计学上显著的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Geriatrics Journal Nursing-Gerontology

CiteScore

5.20

自引率

0.00%

发文量

期刊介绍： The Canadian Geriatrics Journal (CGJ) is a peer-reviewed publication that is a home for innovative aging research of a high quality aimed at improving the health and the care provided to older persons residing in Canada and outside our borders. While we gratefully accept submissions from researchers outside our country, we are committed to encouraging aging research by Canadians. The CGJ is targeted to family physicians with training or an interest in the care of older persons, specialists in geriatric medicine, geriatric psychiatrists, and members of other health disciplines with a focus on gerontology.