我们如何改善个人护理互动,以减少痴呆症患者的护理拒绝? 一个现实主义的合成
Tamara Backhouse1, Anne Killett1, Reed W R Bratches2
1School of Health Sciences, University of East Anglia, Norwich, Norfolk, UK.
Journal of advanced nursing
|September 18, 2025
概括
护理人员策略通过培养信任和安全,减少痴呆症患者的护理拒绝. 关键机制包括控制,连接和理解需求,改善个人护理互动.
科学领域:
- 老年学和痴呆症护理
- 护理人员与患者互动研究 护理人员与患者互动研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 拒绝护理是痴呆症患者个人护理的一个重大挑战.
- 了解护理人员的策略和潜在机制对于有效的干预至关重要.
研究的目的:
- 确定护理人员策略,以减少痴呆症患者拒绝护理的情况.
- 确定这些干预的机制,背景和受益者.
- 开发基于证据的程序理论,以改善个人护理实践.
主要方法:
- 采用了一个现实的合成方法,涉及三个阶段.
- 最初的程序理论发展包括对视频录制的互动和采访成绩单的分析.
- 在多个数据库 (MEDLINE,EMBASE,PsycINFO等) 进行文献搜索. 从2000年到2024年,接下来是对15个利益相关者的现实面试.
主要成果:
- 创建了七个方案理论,包括多个护理者策略.
- 接受护理的主要机制是信任和与护理人员感到安全.
- 贡献机制包括一种控制感,积极的联系,可管理的护理,协作,参与和认可的需求.
结论:
- 护理人员的沟通,方法,护理类型和交互过程策略可以减少护理拒绝.
- 关系方面,如伙伴关系质量和确保痴呆症患者感到安全,是关键机制.
- 研究结果为医疗保健专业人员 (如护士) 提供了实用策略和方案理论,以提高痴呆症护理.
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