提升社區民眾失智症篩檢數

A Project to Improve Public Participation in Dementia Screening in Communities

10.29494/LN.201809_19(3).0007

夏姿慧(Tzu-Hui Hsia)；鍾玉英(Yu-Ing Chung)；陳玉嬋(Yu-Chan Chen)；徐紫娟(Tzu-Chuan Hsu)；張玉婷(Yu-Ting Chang)

失智症 ； 篩檢 ； 社區民眾 ； dementia ； screening ； community residents

領導護理

19卷3期（2018 / 09 / 01）

80 - 95

繁體中文

早期治療可延緩失智症患者的認知功能退化，但因失智症初期症狀並不明顯，民眾往往錯失早期發現與治療的時機。2013年本院辦理3場失智症防治篩檢活動，僅34人參與篩檢，為達到社區民眾早期發現、早期治療之目的，故引發本專案改善動機。經現況分析，發現民眾對失智症認知不足、不知道需要做與不知道哪裡可以做失智症篩檢，加上活動宣傳不足、篩檢人力不足、工作人員未積極鼓勵民眾參與篩檢，導致活動辦理成效差。經實施改善方案：重新規劃失智症防治課程、設計多元化活動內容、建立跨專業團隊合作模式、舉辦篩檢工作人員教育訓練、建立失智症篩檢個案轉介服務流程及增加活動宣傳，2014年社區民眾參與失智症篩檢人數提升至661人。本專案以跨專業團隊合作方式，設計多元化失智症防治活動，成功提升民眾參與失智症篩檢。

Early treatment can delay cognitive function decline in patients with dementia. However, the symptoms of early dementia are subtle, which often lead to delays in early diagnosis and treatment. Our hospital held 3 dementia prevention and screening events in 2013, but only 34 people participated. We were prompted to improve the project to achieve early diagnosis and treatment among community residents. Analysis of the conditions revealed that the public were ill-informed about dementia, and did not know when or where to participate in the dementia screenings. Additionally, inadequate event promotion, insufficient screening personnel, and the passive encouragement to the public in participation and examination had contributed to the ill-effect of the events. Subsequently, the following improvements were implemented: re-plan the dementia prevention and treatment course, design diversified event content, establish interdisciplinary team cooperation models, hold training sessions for screening personnel, establish referral procedures for dementia cases, and increase event promotion. Consequently, the number of people participating in the 2014 screening events increased up to 661. Through interdisciplinary team cooperation, and by designing diverse activities for preventing dementia, we successfully increased public participation in dementia screenings.

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