O'Connell Bev, Gardner Anne, Takase Miyuki, Hawkins Mary T, Ostaszkiewicz Joan, Ski Chantal, Josipovic Patricia
Deakin-Southern Health Nursing Research Centre, Deakin University, Burwood, Victoria, Australia.
Int J Nurs Pract. 2007 Jun;13(3):182-92. doi: 10.1111/j.1440-172X.2007.00624.x.
Reality Orientation (RO) was developed as a strategy to assist people with dementia to improve their orientation and everyday function. Although its efficacy has been extensively studied in long-term care facilities, its effectiveness has rarely been examined in acute care settings. The aim of this review was to examine the studies cited in systematic reviews of RO to determine the potential clinical usefulness and the feasibility of using RO in acute care settings. Based on this information, the authors make recommendations for future research in this area. The feasibility of implementing RO in acute care poses challenges because of the short time a patient is in hospital and their ability to participate given their acute medical condition. Although the efficacy and feasibility of using RO in acute care settings have not been sufficiently examined, its potential to improve care should not be ignored. A comprehensive and rigorous study is necessary to investigate the usefulness of RO in the acute care setting and to help establish clinical guidelines for dementia care in the context of acute care nursing.
现实定向疗法（RO）是作为一种帮助痴呆症患者改善定向能力和日常功能的策略而开发的。尽管其疗效已在长期护理机构中得到广泛研究，但其在急性护理环境中的有效性却很少被研究。本综述的目的是检查RO系统评价中引用的研究，以确定其在急性护理环境中的潜在临床实用性和可行性。基于这些信息，作者对该领域未来的研究提出了建议。由于患者住院时间短以及其急性医疗状况导致的参与能力，在急性护理中实施RO的可行性面临挑战。尽管RO在急性护理环境中的疗效和可行性尚未得到充分研究，但其改善护理的潜力不应被忽视。有必要进行全面而严谨的研究，以调查RO在急性护理环境中的实用性，并帮助制定急性护理背景下痴呆症护理的临床指南。
