The Mornington Centre, Peninsula Health, Melbourne, Vic., Australia.
Int J Older People Nurs. 2012 Mar;7(1):57-64. doi: 10.1111/j.1748-3743.2011.00282.x. Epub 2011 Jun 27.
In a Melbourne metropolitan health network, patients with dementia can have difficulty settling into a subacute rehabilitation facility after transfer from the acute hospital.
To understand how older patients with mild to moderate dementia experienced the transfer from acute to subacute care and settling-in period.
A descriptive design was used. Eight patients with mild to moderate dementia were recruited, one to 5 days after transfer.
A qualitative method using in-depth interviews was used. The data were analysed using content analysis.
Four main themes were identified: 'Settling into a new environment', 'staff attitudes to people with dementia', 'loss of control' and 'family support'.
Person-centred care that comes from the perspective of respect for the individual transcends all these issues. People with dementia require more support to settle after transfer. Family involvement can assist in facilitating a smooth transition.
Nurses who understand the specific needs of patients with dementia can develop ways of working with patients to ensure person-centred care. More conversations with people with dementia are needed to investigate how this can be achieved. Orientation procedures should ensure that support for people with dementia is optimized during the settling-in phase.
在墨尔本都会区的一个医疗网络中，痴呆症患者从急性医院转至亚急性康复机构后，可能难以适应。
了解轻度至中度痴呆症老年患者在从急性护理向亚急性护理转移及适应期的体验。
采用描述性设计。在转院后 1 至 5 天招募了 8 名轻度至中度痴呆症患者。
采用深度访谈的定性方法。使用内容分析法分析数据。
确定了 4 个主要主题：“适应新环境”、“工作人员对痴呆症患者的态度”、“失去控制”和“家庭支持”。
从尊重个人的角度出发的以患者为中心的护理超越了所有这些问题。转院后，痴呆症患者需要更多的支持来适应。家庭参与有助于促进顺利过渡。
了解痴呆症患者具体需求的护士可以制定与患者合作的方法，以确保以患者为中心的护理。需要与更多的痴呆症患者进行对话，以探讨如何实现这一目标。定位程序应确保在适应期优化对痴呆症患者的支持。
