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[德国养老院中痴呆症患者护理干预措施的开发、应用与评估——一项文献综述]

[Development, application and evaluation of nursing interventions for people with dementia in nursing homes in Germany--a literature review].

作者信息

Palm Rebecca, Köhler Kerstin, Dichter Martin Nikolaus, Bartholomeyczik Sabine, Holle Bernhard

机构信息

Deutsches Zentrum für Neurodegenerative Erkrankungen, Witten und Department Pflegewissenschaft, Fakultät für Gesundheit, Private Universität Witten/Herdecke, Witten.

出版信息

Pflege. 2013 Oct;26(5):337-55. doi: 10.1024/1012-5302/a000317.

Abstract

In 2007 guidelines for the care of people with dementia living in nursing homes, especially for handling challenging behaviour, have been published that recommend certain interventions. The aim of this study is a systematic review of publications about projects and the development and utilisation of interventions recommended in the German guideline in German nursing homes. For this purpose, 22 publications from 8 projects were analysed. The analysis was carried out on the basis of the CReDECI-criteria for the reporting of complex interventions. The publications described the application of reminiscence-therapy, Snoezelen, Dementia Care Mapping (DCM) and the use of understanding diagnostics as well as assessment instruments. Although the interventions were based on similar theoretical frames and had the same aim they contained different components. For the implementation a considerably amount of teaching and support by the project members was needed. A process evaluation as well as information about necessary adaptations to general conditions was given seldom. Partly, information that is important for the use in practice as well as in continuative studies is missing in the publications.

摘要

2007年,针对养老院中痴呆症患者护理的指南已发布,尤其涉及应对具有挑战性的行为,并推荐了某些干预措施。本研究旨在对德国养老院中有关项目以及德国指南中推荐的干预措施的开发与应用的出版物进行系统综述。为此,对来自8个项目的22篇出版物进行了分析。分析是基于CReDECI关于复杂干预措施报告的标准进行的。这些出版物描述了怀旧疗法、多感官环境疗法、痴呆症护理图谱(DCM)的应用,以及理解性诊断和评估工具的使用。尽管这些干预措施基于相似的理论框架且目标相同,但它们包含不同的组成部分。在实施过程中,项目成员需要大量的教学和支持。很少有过程评估以及关于对一般情况进行必要调整的信息。部分出版物中缺少对实践应用以及后续研究很重要的信息。

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