Ducak Kate, Denton Margaret, Elliot Gail
Department of Health, Aging, and Society, McMaster University, Canada.
DementiAbility Enterprises, Inc., Canada.
Dementia (London). 2018 Jan;17(1):5-33. doi: 10.1177/1471301215625342. Epub 2016 Jan 8.
Montessori-based activities use a person-centred approach to benefit persons living with dementia by increasing their participation in, and enjoyment of, daily life. This study investigated recreation staff and multidisciplinary consultants' perceptions of factors that affected implementing Montessori Methods for Dementia™ in long-term care homes in Ontario, Canada. Qualitative data were obtained during semi-structured telephone interviews with 17 participants who worked in these homes. A political economy of aging perspective guided thematic data analysis. Barriers such as insufficient funding and negative attitudes towards activities reinforced a task-oriented biomedical model of care. Various forms of support and understanding helped put Montessori Methods for Dementia™ into practice as a person-centred care program, thus reportedly improving the quality of life of residents living with dementia, staff and family members. These results demonstrate that when Montessori Methods for Dementia™ approaches are learned and understood by staff they can be used as practical interventions for long-term care residents living with dementia.
基于蒙台梭利理念的活动采用以人为本的方法，通过增加痴呆症患者对日常生活的参与度和乐趣，使其受益。本研究调查了加拿大安大略省长期护理机构中娱乐工作人员和多学科顾问对影响实施“痴呆症蒙台梭利方法™”的因素的看法。通过对在这些机构工作的17名参与者进行半结构化电话访谈获取了定性数据。老龄化的政治经济学视角指导了主题数据分析。资金不足和对活动的负面态度等障碍强化了以任务为导向的生物医学护理模式。各种形式的支持和理解有助于将“痴呆症蒙台梭利方法™”作为以人为本的护理项目付诸实践，从而据报道改善了痴呆症患者、工作人员和家庭成员的生活质量。这些结果表明，当工作人员学习并理解“痴呆症蒙台梭利方法™”时，它们可作为对长期护理机构中痴呆症患者的实际干预措施。
