Faculty of Health Science, Nord-Trøndelag University College, Serviceboks, Steinkjer, Norway.
J Clin Nurs. 2010 Oct;19(19-20):2839-48. doi: 10.1111/j.1365-2702.2010.03270.x. Epub 2010 Aug 24.
The study was designed to assess how a day care programme once a week, for seven weeks, with group collaboration and social and cultural activities was experienced by clients. The aim was to provide some insight into how older adults with mild cognitive impairment perceive and experience day care.
As a consequence of social withdrawal, older adults with mild dementia may suffer a loss of meaningful social life and mental stimulus. Person-centred and collaborative day care may provide support to remaining abilities and facilitate for social activities. Little is known about client experiences and whether and how day care gives meaning to everyday life of persons with mild dementia.
A qualitative interview study in a narrative content analysis design.
This study involved narrative interviews with nine Norwegian clients, aged 77-88 years of age, living at home, all being old people with mild dementia.
Three main themes emerged: 'Ambivalence Shifts to Interest', 'Meaningful Engagement Engenders Wellbeing' and 'Social Fellowship Promotes Life Contentment'. The findings gave insights into how people with mild dementia had positive experiences from a once-a-week day programme.
This study demonstrates feelings of more meaningful lives, well-being and contentment as effects of collaborative day care participation. Safe transfer was a prerequisite to participate. There is a need of more research on how to facilitate person-centred and collaborative day care provided for groups in different contexts, culturally pluralistic groups and groups of younger seniors with mild dementia.
Persons with mild dementia may practice remaining social and collaborative skills when care facilitate and moderate participant involvement. Therefore, facilitating for clients' feelings of control in secure environments, narrative conversations, group activities and collaborative group interaction are suggested.
本研究旨在评估每周一次、为期七周的日托计划如何通过小组合作和社会文化活动为客户带来体验。目的是提供一些关于轻度认知障碍老年人如何看待和体验日托的见解。
由于社交退缩，轻度痴呆的老年人可能会失去有意义的社交生活和精神刺激。以患者为中心和协作的日托可以为剩余能力提供支持，并促进社交活动。对于客户的体验，以及日托是否以及如何为轻度痴呆症患者的日常生活赋予意义，知之甚少。
采用叙事内容分析设计的定性访谈研究。
本研究涉及对 9 名挪威客户进行叙事访谈，年龄在 77-88 岁之间，居住在自己家中，都是轻度痴呆的老年人。
出现了三个主要主题：“矛盾心态转变为兴趣”、“有意义的参与产生幸福感”和“社交伙伴关系促进生活满足感”。研究结果深入了解了轻度痴呆症患者如何从每周一次的日托计划中获得积极体验。
本研究表明，协作日托参与带来了更有意义的生活、幸福感和满足感。安全转移是参与的前提条件。需要进一步研究如何促进为不同背景、文化多元化群体和轻度痴呆症年轻老年人群体提供的以患者为中心和协作的日托。
当护理促进并适度参与时，轻度痴呆症患者可以练习保持社交和协作技能。因此，建议在安全的环境中促进客户的控制感、叙事对话、小组活动和协作小组互动。
