在养老院生活的痴呆症患者中识别和管理冷漠:一种定性研究
Johanna M H Nijsten1,2,3,4, Martin Smalbrugge5,6, Annette O A Plouvier7,8
1Radboud University, Nijmegen, The Netherlands. Hanneke.Nijsten@radboudumc.nl.
BMC geriatrics
|November 9, 2023
概括
漠不关心在痴呆症护理中很常见,但很难识别和管理. 有意义的接触和调整期望等策略可以帮助痴呆症患者,家庭和专业照顾者应对冷漠.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 护理 护理 护理
背景情况:
- 痴呆症中普遍存在冷漠,显著影响生活质量.
- 它在养老院环境中经常被诊断不足和治疗不足.
- 了解利益相关者的经验对于有效管理至关重要.
研究的目的:
- 探索痴呆症和冷漠症 (PwA) 患者,家庭护理人员 (FC) 和专业护理人员 (PC) 在识别和管理冷漠症方面的经验.
- 了解不同利益相关方所面临的挑战和成功的策略.
主要方法:
- 在荷兰的养老院进行了一项描述性的定性研究.
- 数据收集涉及与PWA,FC和PC进行半结构化采访,以及与PC聚焦小组.
- 专题分析用于分析来自17个深度访谈和重点小组的数据.
主要成果:
- 参与者发现评估冷漠信号具有挑战性,尽管描述症状与诊断标准一致.
- 漠不关心的影响各不相同,影响了普华永道的福祉,并给FC和PC带来了痛苦 (模两可,丧).
- 使用了培养有意义的联系,管理期望和庆祝小成就等策略.
结论:
- 认识到评估冷漠信号的困难对于养老院护理至关重要.
- 漠不关心会对痴呆症患者及其照顾者的福祉产生负面影响.
- FC和PC可以实施策略,暂时管理冷漠,改善结果.
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