Looman Wendy J, Noelker Linda S, Schur Dorothy, Whitlatch Carol J, Ejaz Farida K
Margaret Blenkner Research Institute, Benjamin Rose, Cleveland, Ohio, USA.
Am J Alzheimers Dis Other Demen. 2002 Nov-Dec;17(6):350-6. doi: 10.1177/153331750201700606.
This qualitative study focuses on nurse assistant reports of both positive and negative behaviors exhibited by family members of cognitively impaired residents. The information reported is obtained from in-person interviews with 114 nurse assistants in 5 skilled nursing facilities (3 philanthropic, 2 proprietary) in Greater Cleveland, Ohio. Nurse assistants were predominantly female (89 percent), white (60 percent), with a mean age of 33, and had been caring for cognitively impaired nursing home residents for an average of five years. Content analyses of nurse assistants' responses reveal five categories of family members' positive behaviors and four categories of negative behaviors. This article focuses on these themes and suggests topics for educational interventions for family members and nurse assistants who care for cognitively impaired nursing home residents. Topics include coping with family members' feelings of guilt and related behaviors, understanding longstanding family relationship issues, and understanding possible reasons for decisions family members make regarding care of their relatives.
这项定性研究聚焦于认知障碍居民家庭成员表现出的积极和消极行为的护工报告。所报告的信息来自对俄亥俄州大克利夫兰地区5家专业护理机构（3家慈善机构、2家私立机构）的114名护工的当面访谈。护工主要为女性（89%），白人（60%），平均年龄33岁，平均照顾认知障碍养老院居民达五年之久。对护工回答的内容分析揭示了家庭成员积极行为的五个类别和消极行为的四个类别。本文聚焦于这些主题，并为照顾认知障碍养老院居民的家庭成员和护工提出教育干预主题。主题包括应对家庭成员的内疚感及相关行为、理解长期存在的家庭关系问题，以及理解家庭成员在亲属护理决策方面可能的原因。
