Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Norway; Faculty of Health Sciences and Social Care, Molde University College, Norway.
School of Applied Social Science, University of Stirling, UK.
Dementia (London). 2019 May;18(4):1393-1409. doi: 10.1177/1471301217712796. Epub 2017 Jun 6.
Potential benefits from day care attendance are reported in the literature for both people with dementia and caregivers, although the evidence-base is limited. The study aimed to explore and compare experiences of day care services for people with dementia as described by day care attendees and their caregivers in Norway and Scotland. Whereas day care receives prominence in Norway's national dementia plan, Scotland does not highlight day care in its national dementia strategy. A qualitative cross-national comparative study was undertaken. Semi-structured interviews were conducted with 17 people with dementia and 17 caregivers in Norway, and 19 people with dementia and 15 caregivers in Scotland. Data were analyzed thematically and comparatively to explore the experiences and outcomes of the participants. Findings indicate positive outcomes from day care for both people with dementia and caregivers. Satisfaction with services related to meaningful activities, getting out of the home, strengthening social connections and careful staff facilitation to create a positive and welcoming atmosphere. There were strong similarities in the content of services and experiences reported in the two countries. Some minor differences were noted, with caregiver support being an area of notable divergence in experiences. Specialist day care for people with dementia seems to provide important support and positive outcomes for people with dementia, and respite and reassurance for their caregivers. More research is needed to further explore the effect of day care designed for people with dementia both on the attendees and their caregivers.
日托服务的潜在好处在文献中被报道为痴呆症患者和护理者都受益，尽管证据基础有限。本研究旨在探索和比较挪威和苏格兰痴呆症患者及其护理者对日托服务的体验，尽管两国国情不同。挪威的国家痴呆症计划强调了日托的重要性，而苏格兰在国家痴呆症战略中并没有强调日托。本研究采用了定性的跨国比较研究方法。在挪威，对 17 名痴呆症患者和 17 名护理者进行了半结构化访谈，在苏格兰，对 19 名痴呆症患者和 15 名护理者进行了访谈。对数据进行了主题分析和比较，以探讨参与者的体验和结果。研究结果表明，日托对痴呆症患者和护理者都有积极的影响。参与者对有意义的活动、离家外出、增强社交联系以及工作人员精心营造积极欢迎的氛围等服务表示满意。这两个国家的服务内容和体验报告有很强的相似性。也注意到了一些细微的差异，护理者支持是体验方面的一个显著分歧点。为痴呆症患者提供的专业日托似乎为患者提供了重要的支持和积极的结果，并为他们的护理者提供了喘息和安慰。需要进一步研究，以进一步探讨专为痴呆症患者设计的日托对患者及其护理者的影响。
