Oregon Health & Science University, Ashland, OR, USA.
Geriatr Nurs. 2012 Mar-Apr;33(2):96-104. doi: 10.1016/j.gerinurse.2011.12.004. Epub 2012 Feb 8.
This study investigates the experiences of unlicensed staff providing care for older adults with behavioral and psychological symptoms of dementia (BPSD). The purpose of this study was to describe the types and frequency of BPSD reported by unlicensed caregivers and to describe reactions and training of the caregivers who provide care to residents with BPSD. Data were derived from 87 staff-resident dyads in twelve assisted living facilities (ALFs). Types and frequency of BPSD and staff reaction to BPSD were collected using standardized measures. Demographic data included amount of staff training related to caring for someone with BPSD. Dementia related behaviors and psychological symptoms were prevalent in the ALF residents, with memory related symptoms being the most frequently reported. Symptoms of depression in the ALF residents were less frequent yet accounted for the highest level of staff reaction. Limited training related to caring for residents with cognitive impairment was reported by staff. Developing ALF staff skills in identifying and managing depression in older adults with dementia may serve a dual purpose of improving quality of life for residents and for ALF staff.
本研究调查了无证员工为患有行为和心理症状的痴呆症（BPSD）的老年人提供护理的经验。本研究的目的是描述无证护理员报告的 BPSD 的类型和频率，并描述为患有 BPSD 的居民提供护理的护理员的反应和培训。数据来自 12 个辅助生活设施中的 87 名员工-居民二人组。使用标准化措施收集 BPSD 的类型和频率以及员工对 BPSD 的反应。人口统计学数据包括与照顾患有 BPSD 的人相关的员工培训量。在辅助生活设施的居民中，与痴呆相关的行为和心理症状很普遍，其中与记忆相关的症状是最常报告的。辅助生活设施居民的抑郁症状则较少见，但却引起了最高级别的员工反应。员工报告说，与照顾认知障碍居民相关的培训有限。提高辅助生活设施员工识别和管理痴呆症老年患者抑郁症状的技能，可能有助于提高居民的生活质量，并使辅助生活设施员工受益。
