Finnema E, de Lange J, Dröes R M, Ribbe M, van Tilburg W
Northern Centre for Healthcare Research, Faculty of Medicine, University of Groningen, The Netherlands.
J Adv Nurs. 2001 Sep;35(5):728-40. doi: 10.1046/j.1365-2648.2001.01905.x.
The present study focuses on opinions on the quality of nursing home care of family members of nursing home residents with dementia. Furthermore, we examined whether family members' appreciation of the care increased as a result of the implementation of emotion-oriented care.
Randomized clinical trial.
An 18-item questionnaire was developed. The following subjects were addressed: communication activities between staff and family members; satisfaction regarding contacts with staff; the extent to which family members can participate in care; the contact that family members experience with the person with dementia, and opinions about the way in which nursing staff treat residents.
Most family members already had a positive opinion on the nursing home care prior to the implementation of emotion-oriented care. The most positive assessment concerned the way in which nursing staff treated residents. The lowest scores concerned communication activities between ward staff and family members. Comparison of the first and end measurements showed that in general opinions on the quality of care did not change.
A large number of incomplete questionnaires made it impossible to conduct factor analysis on the classification of the questions in various sections and therefore allowed us only to make statements at the item level.
For the most part family members had a positive opinion on the nursing home care. In general, implementation of emotion-oriented care did not lead to a more positive assessment. Despite the generally accepted notion that involving family members in care is important, family members were regularly treated as outsiders. This demonstrates that there is room for improvement in the communication by nursing home staff with family members (e.g. more frequent contacts and information about the illness).
本研究聚焦于痴呆症疗养院居民家庭成员对疗养院护理质量的看法。此外，我们还考察了实施情感导向护理后家庭成员对护理的满意度是否有所提高。
随机临床试验。
编制了一份包含18个条目的问卷。涉及以下主题：工作人员与家庭成员之间的沟通活动；与工作人员接触的满意度；家庭成员参与护理的程度；家庭成员与痴呆症患者的接触情况，以及对护理人员对待居民方式的看法。
在实施情感导向护理之前，大多数家庭成员对疗养院护理已经有积极的看法。最积极的评价涉及护理人员对待居民的方式。得分最低的是病房工作人员与家庭成员之间的沟通活动。首次测量与末次测量的比较表明，总体上对护理质量的看法没有改变。
大量不完整的问卷使得无法对各部分问题的分类进行因子分析，因此我们只能在条目层面进行陈述。
大多数家庭成员对疗养院护理持积极看法。总体而言，实施情感导向护理并未带来更积极的评价。尽管普遍认为让家庭成员参与护理很重要，但家庭成员经常被当作局外人对待。这表明疗养院工作人员与家庭成员之间的沟通仍有改进空间（例如更频繁的联系以及关于病情的信息）。
