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《痴呆症患者及其护理人员对跌倒预防策略接受情况的见解》

"": Insights on the Uptake of Falls Prevention Strategies from People with Dementia and Their Caregivers.

作者信息

Meyer Claudia, Dow Briony, Hill Keith D, Tinney Jean, Hill Sophie

机构信息

Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia; RDNS Institute, St Kilda, VIC, Australia.

National Ageing Research Institute, Parkville, VIC, Australia; Centre for Health Policy, School of Global and Population Health, University of Melbourne, Parkville, VIC, Australia.

出版信息

Front Public Health. 2016 Nov 2;4:244. doi: 10.3389/fpubh.2016.00244. eCollection 2016.

Abstract

Strong evidence exists for effective falls prevention strategies for community-dwelling older people. Understanding the translation of these strategies into practice for people with dementia has had limited research focus. People with dementia desire to have their voice heard, to engage meaningfully in the health-care decision-making process, making it a priority for researchers and practitioners to better understand how to engage them in this process. This paper reports on the qualitative aspects of a series of studies, which aimed to identify the views of people with dementia and their caregivers regarding perceptions of falls prevention and the successes and challenges of adopting falls prevention strategies. Twenty five people with dementia and their caregivers were interviewed in their homes at baseline, and 24 caregivers and 16 people with dementia were interviewed at completion of a 6-month individualized falls prevention intervention. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed. Five themes were identified at baseline: . At 6 months, caregivers and people with dementia decided on "" with firm views that the information regarding falls risk reduction needed to be in " … ." Rather than caregivers and people with dementia being only recipients of knowledge, they felt they were "" drawing on a "" within their circle of influence to be able to positively "." The voices of people with dementia and their caregivers add an important dimension to understanding the translation of falls prevention knowledge for this population. Insights from this study will enable community care health professionals to understand that people with dementia and their caregivers can, and wish to, contribute to implementing falls prevention strategies through their resourcefulness and inclusion in the therapeutic partnership.

摘要

有充分证据表明,针对社区居住的老年人,存在有效的预防跌倒策略。但对于如何将这些策略应用于痴呆症患者的实践中,相关研究关注较少。痴呆症患者希望自己的声音被听到,能有意义地参与医疗保健决策过程,这使得研究人员和从业者优先更好地了解如何让他们参与这一过程。本文报告了一系列研究的定性方面,旨在确定痴呆症患者及其护理人员对预防跌倒的看法以及采用预防跌倒策略的成功经验和挑战。25名痴呆症患者及其护理人员在基线时在家中接受了访谈,在为期6个月的个性化预防跌倒干预结束时,又对24名护理人员和16名痴呆症患者进行了访谈。访谈进行了录音,逐字转录,并进行了主题分析。在基线时确定了五个主题:……在6个月时,护理人员和痴呆症患者决定……,他们坚定地认为,关于降低跌倒风险的信息需要以……的形式呈现。护理人员和痴呆症患者不仅仅是知识的接受者,他们觉得自己在利用自己影响范围内的……,以便能够积极地……。痴呆症患者及其护理人员的声音为理解针对这一人群的预防跌倒知识的转化增添了重要维度。本研究的见解将使社区护理健康专业人员明白,痴呆症患者及其护理人员能够且希望通过他们的机智和参与治疗伙伴关系,为实施预防跌倒策略做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6f1/5090973/6671397c4791/fpubh-04-00244-g001.jpg

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