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[老年人的身体克制和正式的护理负担:一项探索性研究]
Christine Vanessa Cuervo-Lombard1, Marie Rommelaere2, Ina Wojciechowski2
1Centre d'études et de recherches en psychopathologie et psychologie de la santé (CERPPS), EA7411, université Jean-Jaurès, Toulouse, France.
Geriatrie et psychologie neuropsychiatrie du vieillissement
|February 2, 2026
概括
老年护理中的身体限制增加了护理人员的负担. 使用限制措施的护理人员经历了更大的负担,特别是在每位居民限制较少的设施中,这表明结构因素影响了员工的幸福感.
科学领域:
- 老年医疗护理 医疗护理
- 养老院管理 养老院管理
- 医疗保健工作人员的幸福 医疗保健工作人员的幸福
背景情况:
- 尽管已知的负面影响,但在老年护理中被动的身体克制是常见的.
- 人员短缺和结构因素可能会加剧限制使用.
- 了解与控制器使用相关的护理人员负担对于改善护理质量至关重要.
研究的目的:
- 调查老年护理中护理人员负担和身体限制使用之间的关系.
- 要确定护理人员的角色 (发起者与应用者) 是否会影响负担.
- 探索设施层面因素对这种关系的影响.
主要方法:
- 这项研究涉及两个护理机构的15名护理人员和34名住户.
- 数据收集包括护理人员负担评估,神经精神科目录 (NPI) 评分,Iso资源组 (GIR) 评分,迷你精神状态检查 (MMSE) 评分,限制数和持续时间.
- 使用统计分析 (回归和ANOVA) 来检查变量之间的关系.
主要成果:
- 当使用物理约束时,护理人员的负担显著增加 (β = 14.68,p = 0.005).
- 增加护理人员经验 (β = -0.20,p = 0.039) 和更高的MMSE分数 (β = -0.175,p = 0.005) 与负担减少相关.
- 使用限制措施的护理人员报告说,他们的负担明显增加 (F = 4.60,p = 0.039).
- 限制与居民比率最低的设施显示了最高的护理人员负担.
结论:
- 无论是使用物理约束还是应用它们的行为都增加了护理人员的负担.
- 照顾者经验和居民认知状态 (MMSE) 可以减轻负担.
- 设施特定的结构因素和约束时间似乎影响了约束使用和员工负担之间的动态,突显了系统干预的必要性.
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