重新构建以痴呆症患者为中心的护理模式。
Reframing person-centered nursing care for persons with dementia.
作者信息
Penrod Janice, Yu Fang, Kolanowski Ann, Fick Donna M, Loeb Susan J, Hupcey Judith E
机构信息
The Pennsylvania State University, University Park, PA 16802, USA.
出版信息
Res Theory Nurs Pract. 2007;21(1):57-72. doi: 10.1891/rtnpij-v21i1a007.
Abstract
Alzheimer's dementia manifests in a complex clinical presentation that has been addressed from both biomedical and phenomenological perspectives. Although each of these paradigmatic perspectives has contributed to advancement of the science, neither is adequate for theoretically framing a person-centered approach to nursing care. The need-driven dementia-compromised behavior (NDB) model is discussed as an exemplar of midrange nursing theory that promotes the integration of these paradigmatic views to promote a new level of excellence in person-centered dementia care. Clinical application of the NDB promotes a new level of praxis, or thoughtful action, in the care of persons with dementia.
摘要
阿尔茨海默病性痴呆表现为复杂的临床表现，这已从生物医学和现象学角度进行了探讨。尽管这些范式观点中的每一个都推动了科学的进步，但对于从理论上构建以患者为中心的护理方法而言，两者都不够充分。需求驱动型痴呆行为（NDB）模型作为一种中程护理理论的范例被讨论，该理论促进这些范式观点的整合，以推动以患者为中心的痴呆护理达到新的卓越水平。NDB在临床中的应用推动了痴呆患者护理中实践或深思熟虑行动的新水平。
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