Lykkeslet Else, Gjengedal Eva, Skrondal Torill, Storjord May-Britt
Faculty of Health and Social Care, Molde University College, Molde, Norway;
Faculty of Health and Social Care, Molde University College, Molde, Norway; Department of Global Health and Primary Care, Bergen University, Bergen, Norway.
Int J Qual Stud Health Well-being. 2014 Jul 8;9:23888. doi: 10.3402/qhw.v9.23888. eCollection 2014.
The overall aim of this 2-year Norwegian action research study was to improve the interaction between care workers and patients with dementia in a nursing home by means of sensory stimulation. Furthermore, the aim was to investigate how the staff experienced the interaction with patients suffering from behavioral and psychological symptoms of dementia before, under, and after introduction of sensory stimulation methods in clinical practice. An intervention program consisting of lectures and practical guiding in sensory stimulation was implemented. The care workers participated in group meetings to reflect on the progress. Focus group interviews and participant observations were conducted initially to map exciting practice, and at the end to evaluate potential changes in attitude and skills. Observation notes and interview transcripts were analyzed by means of thematic analysis which revealed a gradual emergence of person-centered care. A phenomenological life-world perspective may serve as a theoretical basis to deepen the understanding of the use of sensory stimulation.
这项为期两年的挪威行动研究的总体目标是，通过感官刺激改善养老院护理人员与痴呆症患者之间的互动。此外，该研究旨在调查在临床实践中引入感官刺激方法之前、期间和之后，工作人员如何体验与患有痴呆症行为和心理症状的患者之间的互动。实施了一个由感官刺激讲座和实践指导组成的干预计划。护理人员参加小组会议以反思进展情况。最初进行焦点小组访谈和参与观察以描绘现有实践情况，最后进行评估态度和技能的潜在变化。通过主题分析对观察记录和访谈记录进行了分析，结果显示以患者为中心的护理逐渐形成。现象学的生活世界视角可作为理论基础，以加深对感官刺激使用的理解。
