Zusammenfassung
Ziel: Untersuchung der Prävalenz von Demenzen und medizinischer Versorgung in deutschen
Pflegeheimen.
Methodik: Ausgehend von einer bundesweiten Repräsentativstichprobe wurde bei 4481 Bewohnern
ein Fremdassessment durchgeführt.
Ergebnisse: Im Schnitt wiesen 68,6 % (95 %-KI: 67,0 – 69,8) der Bewohner eine Demenz auf, davon
56,6 % eine schwere Demenz. Die Kontaktfrequenz mit Hausärzten war hoch, Lücken zeigten
sich in der fachärztlichen Versorgung.
Schlussfolgerungen: Die Ergebnisse weisen auf die Notwendigkeit verbesserter fachärztlicher, v. a. gerontopsychiatrischer
Versorgung im Pflegeheim hin.
Abstract
Objective: The study aimed to determine the prevalence of dementia and the degree of medical
care among residents of nursing homes based on a nationally representative sample
of nursing homes in Germany for the first time.
Methods: Based on a probability sample of 609 long-term care institutions in Germany, we drew
a sample of 86 facilities by applying a two-stage random procedure. All residents
of the participating care facilities were comprehensively assessed by qualified nurses
using a standardized Care and Behavior Assessment (CBA).
Results: Of the 4,481 residents assessed in 58 care facilities (mean age 82.6 years;78 % female)
on average 68.6 % (95 % CI: 67.0 – 69.8) were affected by a dementia-syndrome, 56.6 %
by a severe dementia-syndrome. There were frequent contacts between residents and
general practitioners, but provision of specialized medical care seemed to be deficient
in many aspects.
Conclusion: People with dementia form the major group of residents in German nursing homes. The
study provides important data on need for care and health care planning.
Schlüsselwörter
Demenzen - Prävalenz - ärztliche Versorgung - stationäre Pflege
Keywords
dementia - prevalence - medical care - primary care - nursing homes
