将痴呆症患者转移到严重挑战性行为专门单位,这是一个深入的探索
Leon H F Verhees1,2,3, Leonie C P Banning3, Hester Stalman1
1De Zorggroep, Center for Specialized Geriatric Care, Venlo, Netherlands.
Aging & mental health
|November 22, 2023
概括
由于严重的挑战性行为,痴呆症患者的搬迁往往是创伤性的. 这项研究确定了越来越严重的行为,未满足的需求和员工负担是导致此类移动的关键因素,突出了需要干预的领域.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 护理 护理 护理
背景情况:
- 具有挑战性的行为是痴呆症护理的养老院安置的主要驱动因素.
- 对于严重的挑战性行为,将其转移到专门单位可能是创伤性的,应该避免.
- 了解搬迁的原因对于改善痴呆症护理至关重要.
研究的目的:
- 调查患者和环境相关的原因,以重新安置患有痴呆症和严重挑战性行为的人.
- 开发一个概念框架,解释在专业痴呆症护理单位的搬迁触发因素.
主要方法:
- 定性多个案例研究设计.
- 涉及15个个人访谈和4个重点小组 (20名参与者) 与医疗保健专业人员和亲属.
- 对转录的音频录音进行主题分析,包括有针对性的内容分析.
主要成果:
- 在五个案例之后,数据和度被达到.
- 确定了三个核心过程:不断升级的挑战性行为,无法满足客户需求和增加护理人员负担.
- 迁移是由这些过程的相互作用触发的,通常是由危及生命的事件启动的.
结论:
- 开发了一个概念框架,提供了对痴呆症中严重挑战性行为的搬迁驱动因素的见解.
- 防止搬迁需要解决不断升级的行为,员工负担和未满足的客户需求.
- 干预措施应侧重于支持工作人员和满足复杂的患者需求,以避免创伤性转移.
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