Ostaszkiewicz J, Lakhan P, O'Connell B, Hawkins M
Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Melbourne, Vic., Australia.
Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia.
Int Nurs Rev. 2015 Dec;62(4):506-16. doi: 10.1111/inr.12180. Epub 2015 Feb 25.
Mid- to late-stage dementia is often characterized by behavioural and psychological symptoms, including, but not limited to physical and verbal aggression.
Although there is a considerable research about the prevalence, aetiology, and management of behavioural and psychological symptoms of dementia, there is limited research about the experience of caring for people with such symptoms in long-term aged care facilities.
The aims of the study were to describe: (i) nurses' experiences of caring for people with behavioural and psychological symptoms of dementia in long-term aged care facilities, and (ii) strategies nurses used to deal with these symptoms.
A qualitative exploratory and descriptive design, involving focus group interviews with 30 nurses from three long-term aged care units in Australia. The transcripts were analysed using inductive content analysis.
The findings revealed five interrelated themes: (i) working under difficult conditions, (ii) behavioural and psychological symptoms of dementia: an everyday encounter, (iii) making sense of behavioural and psychological symptoms of dementia, (iv) attempting to manage behavioural and psychological symptoms of dementia, and (v) feeling undervalued.
This study highlighted the difficult conditions under which nurses worked and the complexity of caring for individuals who have behavioural and psychological symptoms of dementia.
Organizational efforts to enhance the quality of care for individuals with behavioural and psychological symptoms of dementia in long-term aged care facilities should extend beyond staff education to heed nurses' concerns about organizational barriers to interpersonal care.
中晚期痴呆症通常表现为行为和心理症状，包括但不限于身体攻击和言语攻击。
尽管对痴呆症行为和心理症状的患病率、病因及管理已有大量研究，但对于在长期老年护理机构中照顾有此类症状患者的经历，研究却很有限。
本研究的目的是描述：（i）护士在长期老年护理机构中照顾有痴呆症行为和心理症状患者的经历，以及（ii）护士用于应对这些症状的策略。
采用定性探索性和描述性设计，对来自澳大利亚三个长期老年护理单元的30名护士进行焦点小组访谈。使用归纳性内容分析法对访谈记录进行分析。
研究结果揭示了五个相互关联的主题：（i）在困难条件下工作，（ii）痴呆症的行为和心理症状：日常遭遇，（iii）理解痴呆症的行为和心理症状，（iv）试图管理痴呆症的行为和心理症状，以及（v）感到被低估。
本研究突出了护士工作的困难条件以及照顾有痴呆症行为和心理症状患者的复杂性。
长期老年护理机构中为改善有痴呆症行为和心理症状患者护理质量所做的组织努力，应超越员工教育，关注护士对人际护理组织障碍的担忧。
