Vogel C H, Mercier J
J Gerontol Nurs. 1991 Mar;17(3):30-4. doi: 10.3928/0098-9134-19910301-13.
Two groups of institutionalized aged, the mentally ill and the frail elderly, were studied for differences in observable behaviors. The mentally ill group showed no significant decline in behavior as years spent in an institution increased. This finding reflects improvement in mental health care. The mentally ill nursing home resident does need to be maintained on appropriate psychotropic medications. Limit-setting approaches to caregiving will help maintain expected behaviors. The frail elderly showed a decline in neatness and an increase in negative behaviors with longer institutional stays. Caregiving needs to focus on helping the resident maintain a sense of mastery and control in the nursing home environment.
对两组机构养老的老年人，即精神病患者和体弱老年人，进行了可观察行为差异的研究。随着在机构中度过的年数增加，精神病患者组的行为没有显著下降。这一发现反映了精神卫生保健的改善。患有精神疾病的养老院居民确实需要持续服用适当的精神药物。设定界限的护理方法将有助于维持预期行为。随着在机构中停留时间的延长，体弱老年人的整洁度下降，消极行为增加。护理需要专注于帮助居民在养老院环境中保持掌控感。
