Bourgeois Michelle S, Brush Jennifer, Elliot Gail, Kelly Anne
Department of Communication Sciences and Disorders, University of South Florida, Tampa, Florida.
Brush Development, Chardon, Ohio.
Semin Speech Lang. 2015 Aug;36(3):209-14. doi: 10.1055/s-0035-1554802. Epub 2015 Jul 17.
Efforts to improve the quality of life of persons with dementia in long-term care through the implementation of various approaches to person-centered care have been underway for the past two decades. Studies have yielded conflicting reports evaluating the evidence for these approaches. The purpose of this article is to outline the findings of several systematic reviews of this literature, highlighting the areas of improvement needs, and to describe a new person-centered care model, DementiAbility Methods: The Montessori Way. This model focuses on the abilities, needs, interests, and strengths of the person and creating worthwhile and meaningful roles, routines, and activities for the person within a supportive physical environment. This is accomplished through gaining the commitment of the facility's leaders, training staff, and monitoring program implementation. The potential for a culture change in long-term care environments is dependent on the development and rigorous evaluation of person-centered care approaches.
在过去二十年里,人们一直在努力通过实施各种以人为主的护理方法来提高长期护理中痴呆症患者的生活质量。研究对这些方法的证据评估得出了相互矛盾的报告。本文的目的是概述对该文献的几项系统评价的结果,突出需要改进的领域,并描述一种新的以人为主的护理模式——痴呆症能力方法:蒙特梭利法。该模式关注患者的能力、需求、兴趣和优势,并在支持性的物理环境中为患者创造有价值和有意义的角色、日常活动及活动。这是通过获得机构领导的承诺、培训员工以及监督项目实施来实现的。长期护理环境中文化变革的潜力取决于以人为主的护理方法的发展和严格评估。