Wichita State University, Wichita, KS 67260, USA.
Behav Ther. 2011 Mar;42(1):89-99. doi: 10.1016/j.beth.2010.02.005. Epub 2010 Nov 19.
There is increasing interest in promoting person-centered caregiving within gerontology. However, few observational instruments have been developed to measure person-centered caregiving behaviors. In the present study, two innovative coding instruments-the Person-Centered Behavior Inventory (PCBI) and the Global Behavior Scale (GBS)-were used to test the hypothesis that caregivers' person-centeredness would be negatively correlated with residents' resistiveness to care. The study hypothesis was based on the need-driven dementia-compromised theory of behavior. It was expected that person-centered caregiving would better meet residents' needs and be associated with less resistiveness to care. This hypothesis was tested by coding 70 videotaped interactions between 54 caregivers and 20 residents diagnosed with dementia. Resistiveness to care was measured by behaviorally coding residents' resistive behaviors based on the Resistiveness to Care scale. The study hypothesis was supported when the GBS was used to measure person-centeredness, but not when the PCBI was used. The findings provide preliminary support for the predictive and construct validity of the GBS and the PCBI.
人们越来越关注在老年学中推广以患者为中心的护理。然而，很少有观察性工具被开发出来来衡量以患者为中心的护理行为。在本研究中，使用了两种创新的编码工具——以患者为中心的行为量表（PCBI）和全球行为量表（GBS）——来检验这样一个假设，即护理人员的以患者为中心程度与居民对护理的抗拒程度呈负相关。该研究假设基于需求驱动的失智症受损行为理论。人们期望以患者为中心的护理能够更好地满足居民的需求，并与对护理的抗拒程度降低相关。这一假设通过对 54 名护理人员和 20 名被诊断患有痴呆症的居民之间的 70 段录像互动进行编码来进行检验。对护理的抗拒程度是通过基于抗拒护理量表对居民的抗拒行为进行行为编码来衡量的。当使用 GBS 来衡量以患者为中心时，该研究假设得到了支持，但当使用 PCBI 时则没有得到支持。这些发现为 GBS 和 PCBI 的预测和结构效度提供了初步支持。
