The authors conducted a telephone survey in 7 states to determine the prevalence of residential care specialized dementia programs (RC-SDPs) and to identify a sample of homes (n = 56) for more detailed study. The 56 homes were site visited, and data were gathered on facility administration, therapeutic environment, and characteristics of 259 randomly selected residents. Comparison data from 138 nursing home Special Care Units (NH-SCUs) and 1,340 of their residents were obtained from 4 studies conducted in the same 7 states. RC-SDPs were smaller, provided a more homelike environment, and had a higher proportion of residents paying privately, compared with NH-SCUs. Mean levels of cognitive and physical impairment among residents were higher in NH-SCUs; prevalences of psychotropic medication use and problem behaviors were similar. Among RC facilities, small homes were more homelike, provided fewer structured activities, and charged less than larger facilities. RC-SDPs include 5 types: small, independently operated homes; multiple small homes with joint administration; larger, all-dementia facilities; SDPs operated within larger, exclusively RC facilities; and RC-SDPs in multilevel facilities.

译文

作者在7个州进行了电话调查,以确定住宅护理专业痴呆症计划 (rc-sdps) 的患病率,并确定房屋样本 (n = 56) 以进行更详细的研究。现场访问了56所房屋,并收集了有关设施管理,治疗环境和259随机选择的居民特征的数据。来自138个养老院特殊护理单位 (NH-scu) 的比较数据及其1,340的居民是从在相同的7个州进行的4项研究中获得的。与NH-scu相比,rc-sdp较小,提供了更居家的环境,并且私人支付的居民比例更高。NH-scu中居民的平均认知和身体障碍水平较高; 使用精神药物和问题行为的患病率相似。在RC设施中,与大型设施相比,小型房屋更像家庭,提供的结构化活动更少,收费更低。Rc-sdp包括5种类型: 小型独立经营的房屋; 多个联合管理的小型房屋; 较大的全痴呆症设施; Sdp在较大的专门RC设施中运行; 和多层设施中的rc-sdp。

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