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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >A Simulation Exercise to Raise Learners’ Awareness of the Physical and Cognitive Changes in Older Adults
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A Simulation Exercise to Raise Learners’ Awareness of the Physical and Cognitive Changes in Older Adults

机译：提高学习者对老年人身体和认知变化的认知变化的认知意识的模拟练习

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Abstract Objective The growing number of older adults with cognitive impairment is increasing the need for healthcare services. However, there is a great shortage of geriatric trained primary care providers and psychiatrists. A positive attitude towards people with cognitive impairment is associated with better quality of life among residents of long-term care settings. This led us to develop a simulation exercise to raise learners’ awareness of, and attentiveness to, physical and cognitive changes experienced by the aging population. Methods Fifty-one learners rotating through Psychiatry at the Michael E. DeBakey VA Medical Center received the 10-min training over 1?year. The Approaches to Dementia Questionnaire was used to measure attitudes towards older persons with cognitive impairment. Pre- and postsimulation data subscores for the Hope, Person-centered, and total score were calculated, and a paired sample t test was conducted. Results Results of the questionnaire showed statistically significant improvement in the Approaches to Dementia Questionnaire scores among participants after they completed the simulation exercise, indicating an increase in positive attitudes. The mean difference in the total score of the Approaches to Dementia Questionnaire was 3.22, with a 95% CI of 1.67 to 4.74, t ?=?4.20, df (47), p ? r ?=?.64, and a medium effect size of d ?=?.61. Conclusions On the basis of these findings, the simulation exercise can be used for improving learners’ attitudes towards those with cognitive impairment.
机译：摘要目标具有认知障碍的越来越多的老年人正在增加对医疗保健服务的需求。但是，老年人训练有素的初级护理提供者和精神科医生很少。对具有认知障碍的人的积极态度与长期护理环境中的居民的更好生活质量有关。这使我们开发了一种模拟练习，以提高学习者对老龄化人口经历的身体和认知变化的认识性的认识。方法在迈克尔E.Beadakey VA Medical Center旋转的五十一位学习者通过精神病学旋转，获得了10分钟的培训，超过1？一年。痴呆症问卷的方法用于衡量对老年人具有认知障碍的态度。计算了希望，以人为本的和总分数的预计和后期数据子系统，并进行配对样本T检验。结果问卷的结果表明，参与者完成模拟运动后，参与者在参与者中的痴呆症问卷评分的方法有统计学意义，表明积极态度的增加。痴呆症问卷的方法总分的平均差异为3.22，95％CI为1.67至4.74，T？= 4.20，DF（47），P？ r？= ?. 64和d？= 61的中等效果大小。结论在这些调查结果的基础上，模拟练习可用于改善学习者对具有认知障碍的人的态度。

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