痴呆症患者和非正式护理人员对实施行为激活干预的障碍和促进者的看法:使用规范化过程理论进行定性研究
Frida Svedin1, Oscar Blomberg1, Anders Brantnell1,2
1Department of Women's and Children's Health, CIRCLE - Complex Intervention Research in Health and Care, Uppsala University, Uppsala, 751 85 , Sweden.
这项研究确定了为痴呆症患者及其照顾者实施行为激活干预的障碍和促进因素. 患者和护理人员的意见对于优化干预采用和有效性至关重要.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 抑郁症在痴呆症患者中很常见,但获得心理治疗的机会有限.
- 低强度的行为激活干预可以解决这个差距.
- 让患者和护理人员参与干预开发对于成功实施至关重要.
研究的目的:
- 了解瑞典现有的痴呆症患者和非正式照顾者的医疗保健和社区支持.
- 通过使用规范化过程理论 (NPT) 识别痴呆症患者和非正式照顾者的干预吸收的感知障碍和促进者.
主要方法:
- 与痴呆症患者 (n=8) 和非正式照顾者 (n=19) 进行了半结构化访谈.
- 面试是根据"不扩散核武器条约"的面试指南进行的.
- 转录使用NPT编码手册进行了分析,并采用了归纳方法.
主要成果:
- 确定了与NPT构造相关的9个演性和3个归纳性类别 (一致性,认知参与,集体行动).
- 障碍包括广泛的干预材料,痴呆症症状和对痴呆症缺乏接受.
- 促进者包括干预的潜力来填补治疗缺口,对好处的明确理解,经验丰富的干预指南和信任关系.
结论:
- 确定障碍物和促进者,以及基于证据的策略,可以为未来的实施提供信息.
- 认识到患者,护理人员和医疗保健提供者的不同观点对于优化干预措施至关重要.
- 多种观点的早期整合旨在创建适合现实世界的干预措施,支持痴呆症患者及其家人.
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