Division of Clinical Psychology, University of Manchester, Manchester, UK.
Neuropsychol Rehabil. 2012;22(6):920-41. doi: 10.1080/09602011.2012.711642. Epub 2012 Aug 22.
Person-centred care (PCC) is recommended when working with patients with neurological difficulties. Despite this, to date there has been no appropriate methodology for assessing or developing PCC in neurorehabilitation settings. Dementia Care Mapping (DCM) is a well-established tool for assessing and developing PCC in dementia settings and the current study investigated the feasibility of applying DCM on an acute neurorehabilitation ward. DCM procedure and coding required minor adaptations for use in this setting and further recommended adaptations were subsequently identified. It was found that the DCM coding system was generally suitable and could identify strengths, weaknesses and areas for development in ward care. Q-methodology identified that staff views endorsed the feasibility of using DCM in neurorehabilitation, with staff reporting that they found DCM useful and relevant to their work. DCM could be further developed for this setting by amendments to the behaviour coding system, concept and coding of person-centred care, and a population-specific manual. DCM is a promising methodology to develop and promote PCC in neurorehabilitation.
当与患有神经功能障碍的患者合作时，推荐采用以患者为中心的护理（PCC）。尽管如此，迄今为止，在神经康复环境中评估或发展 PCC 还没有适当的方法。痴呆症护理映射（DCM）是评估和发展痴呆症环境中 PCC 的一种成熟工具，本研究调查了将 DCM 应用于急性神经康复病房的可行性。DCM 程序和编码需要进行一些小的调整，以便在这种环境中使用，随后还确定了进一步的推荐调整。结果发现，DCM 编码系统通常是合适的，可以确定病房护理的优势、劣势和发展领域。Q 方法学确定了员工对在神经康复中使用 DCM 的可行性的看法，员工报告说他们发现 DCM 有用且与他们的工作相关。通过对行为编码系统、以人为本的护理的概念和编码进行修改，以及编写特定于人群的手册，可以进一步为这种情况开发 DCM。DCM 是一种很有前途的方法，可以在神经康复中发展和促进 PCC。
