为患有痴呆症的养老院居民提供晨间护理：是否有改进的机会？
Provision of morning care to nursing home residents with dementia: opportunity for improvement?
作者信息
Sloane Philip D, Miller Lois L, Mitchell C Madeline, Rader Joanne, Swafford Kristen, Hiatt Shirin O
机构信息
Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina 27599-7590, USA.
出版信息
Am J Alzheimers Dis Other Demen. 2007 Oct-Nov;22(5):369-77. doi: 10.1177/1533317507305593.
Significant contact between nursing staff and nursing home residents with dementia occurs during assistance with activities of daily living during morning care; however, the content and process of morning care have received little attention in the scientific literature. To better understand the morning care process and its role in generation of pain symptoms, 51 videotaped episodes of morning care involving 17 nursing home residents from 3 long-term care facilities were coded and analyzed; each resident had a diagnosis of dementia and concern about possible pain during assistance with activities of daily living. The typical morning care episode involved performance of multiple activities of daily living during a short period of time, during which pain stimulation and expression occurred frequently. Much could be done to make morning care more an activity to be enjoyed rather than a task to be completed.
在早晨护理期间协助痴呆症疗养院居民进行日常生活活动时，护理人员与居民之间会有大量接触；然而，早晨护理的内容和过程在科学文献中很少受到关注。为了更好地理解早晨护理过程及其在疼痛症状产生中的作用，对来自3个长期护理机构的17名疗养院居民的51段早晨护理录像片段进行了编码和分析；每位居民都被诊断患有痴呆症，并且在协助进行日常生活活动时担心可能会疼痛。典型的早晨护理片段涉及在短时间内进行多项日常生活活动，在此期间疼痛刺激和疼痛表达频繁发生。可以做很多事情使早晨护理更多地成为一种享受的活动，而不是一项要完成的任务。
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