补偿策略干预:老年患者想要什么以及为什么
Allyson Goldstein1, Persis V Commissariat2, Kelli L Sullivan3,4
1Department of Adult Psychiatry and Behavioral Health, Rhode Island Hospital, Providence, RI, USA.
认知障碍的老年人有动力使用补偿策略. 优选的是由教练主导的多会话干预,强调参与的个性化好处.
科学领域:
- 老年学是指老年学的学科.
- 认知康复 认知康复 认知康复
- 医疗保健服务研究 医疗服务研究
背景情况:
- 补偿策略可以提高认知障碍患者日常生活 (IADLs) 仪器活动的表现.
- 了解患者对干预措施的偏好对于有效的战略采用至关重要.
研究的目的:
- 调查认知障碍的老年人使用补偿策略的动机.
- 探索对各种补偿策略干预格式和交付方法的偏好.
主要方法:
- 对38名经历认知障碍的老年人进行了定性访谈.
- 用专题分析来确定动机模式,对干预类型的兴趣,以及障碍/促进者.
主要成果:
- 大多数参与者表达了改善补偿策略使用的动机,受感知效益和当前需求的影响.
- 强烈喜欢一个小时的,多次会议,由教练主导的干预.
- 对于自主导向的虚拟程序和涉及家庭/朋友的虚拟程序的兴趣各不相同,其中包括学习风格和时间承诺等障碍.
结论:
- 认知障碍的老年人通常有动力加强他们使用补偿策略.
- 干预措施应优先考虑由教练主导的格式,并证明个性化的预防和补救效益.
- 优化患者参与需要在干预设计中考虑个人需求和偏好.
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