Buron Bill
Eleanor Mann School of Nursing, University of Arkansas, Fayetteville, AR 72701, USA.
J Gerontol Nurs. 2010 Dec;36(12):38-48. doi: 10.3928/00989134-20100602-01.
This study evaluated the effects of person-centered life history collages on nursing staff knowledge about individual residents living with dementia and staff perceptions of individualized care practices. Thirty-six nursing staff participants (18 experimental and 18 control) who cared for 5 residents with dementia in two nursing homes were recruited. Intervention staff members were exposed to life history collages for 4 weeks. Pretest and posttest data were analyzed using multivariate analysis of covariance and analysis of covariance. While intervention group members' knowledge of residents' family, jobs/careers, and likes/dislikes/interests improved significantly at posttest, F(3, 26) = 6.80, p < 0.01, and at 3 weeks postintervention, F(3, 23) = 9.85, p < 0.001, perceptions of individualized care/person-centered care practices did not. Potential reasons for this lack of improvement are identified and discussed. Directions for future research are also provided.
本研究评估了以个人为中心的生活史拼贴画对护理人员关于痴呆症患者个体知识的影响，以及护理人员对个性化护理实践的认知。招募了来自两家养老院的36名护理人员参与者（18名实验组和18名对照组），他们负责照顾5名痴呆症患者。干预组工作人员接触生活史拼贴画4周。使用多变量协方差分析和协方差分析对前测和后测数据进行分析。虽然干预组成员在测试后对居民的家庭、工作/职业以及喜好/厌恶/兴趣的了解有显著改善，F(3, 26) = 6.80，p < 0.01，且在干预后3周，F(3, 23) = 9.85，p < 0.001，但对个性化护理/以个人为中心的护理实践的认知并未改善。本研究确定并讨论了这种缺乏改善的潜在原因。还提供了未来研究的方向。
