Faucett J, Ellis V, Underwood P, Naqvi A, Wilson D
Department of Mental Health, Community and Administrative Nursing, School of Nursing, University of California, San Francisco 94143.
J Adv Nurs. 1990 Jun;15(6):659-66. doi: 10.1111/j.1365-2648.1990.tb01888.x.
The need of the functionally disabled for nursing care is a primary rationale for institutionalization in long-term care settings. However, maintenance of the self-care abilities that nursing home residents retain is an important component of their quality of life. Nurses are in an important position to encourage and sustain residents' abilities to participate in their care. Nevertheless, without specifying the role of the resident in care, nursing interventions may inadvertently reinforce dependency and apathy at the expense of autonomy, control and well-being. Data from nursing home care records and interviews suggest that nursing staff using Orem's Self-Care Deficit Nursing Theory differ in their nursing assessments and goals of care from staff on a control unit. Further study is recommended of the influence of the model on staff perspectives of care and on interventions which support nursing home residents' self-care ability and well-being.
功能残疾者对护理的需求是长期护理机构收容的一个主要理由。然而，维持疗养院居民所保留的自我护理能力是他们生活质量的一个重要组成部分。护士在鼓励和维持居民参与自身护理的能力方面处于重要地位。然而，如果不明确居民在护理中的角色，护理干预可能会无意中强化依赖和冷漠，而损害自主性、控制权和幸福感。疗养院护理记录和访谈的数据表明，使用奥瑞姆自我护理缺陷护理理论的护理人员在护理评估和护理目标上与控制组的工作人员不同。建议进一步研究该模式对工作人员护理观念以及对支持疗养院居民自我护理能力和幸福感的干预措施的影响。
