Finnema Evelyn, Dröes Rose-Marie, Ettema Teake, Ooms Marcel, Adèr Herman, Ribbe Miel, van Tilburg Willem
Institute for Research in Extramural Medicine, Vrije Universiteit Medical Center, Amsterdam, The Netherlands.
Int J Geriatr Psychiatry. 2005 Apr;20(4):330-43. doi: 10.1002/gps.1286.
To examine the effect of integrated emotion-oriented care on nursing home residents with dementia and nursing assistants.
A multi-site randomized clinical trial with matched groups, and measurements at baseline and after seven months.
Sixteen psychogeriatric wards in fourteen nursing homes in the Netherlands.
One hundred and forty-six elderly residents with the diagnosis dementia of the Alzheimer (DAT) type, mixed DAT and vascular dementia, and dementia syndrome (NAO) and 99 nursing assistants.
Integrated emotion-oriented care and usual care. MESUREMENTS: Demented elderly: Behaviour and mood related to adaptation to the illness and the institutionalization. Nursing assistants: General health as measured by feelings of stress, stress reactions, feeling of competence and illness.
Positive effects in favour of the integrated emotion-oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self-image (less dissatisfaction). In the trained group of nursing assistants fewer stress reactions were found only in those who perceived improvement in their emotion-oriented care skills after training.
Emotion-oriented care is more effective with regard to the emotional adaptation in nursing homes of persons with a mild to moderate dementia. For the severely demented elderly we did not find this surplus value. This outcome is of clinical importance for elderly persons with dementia who are cared for in nursing homes. With respect to the nursing assistants it is concluded that emotion-oriented care has a positive influence on stress reactions in some of them.
探讨综合情感导向护理对患有痴呆症的养老院居民及护理人员的影响。
一项多地点匹配组随机临床试验，在基线和七个月后进行测量。
荷兰14家养老院中的16个老年精神科病房。
146名被诊断为阿尔茨海默病型痴呆（DAT）、混合型DAT和血管性痴呆以及痴呆综合征（NAO）的老年居民和99名护理人员。
综合情感导向护理和常规护理。
痴呆老年人：与疾病适应和机构化相关的行为和情绪。护理人员：通过压力感、应激反应、能力感和疾病来衡量的总体健康状况。
在轻度至中度痴呆居民的两项适应性任务中发现了有利于综合情感导向护理的积极效果：保持情绪平衡（焦虑减少）和保持积极的自我形象（不满减少）。在经过培训的护理人员组中，仅在那些在培训后认为自己的情感导向护理技能有所提高的人员中发现应激反应较少。
对于轻度至中度痴呆患者在养老院的情感适应方面，情感导向护理更有效。对于重度痴呆老年人，我们未发现这种额外价值。这一结果对于在养老院接受护理的痴呆老年人具有临床重要性。关于护理人员，得出的结论是情感导向护理对其中一些人的应激反应有积极影响。
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