Carey Christopher J, Heid Allison R, Van Haitsma Kimberly
J Gerontol Nurs. 2018 May 1;44(5):9-17. doi: 10.3928/00989134-20171002-03. Epub 2017 Oct 9.
Assessing everyday living preferences for nursing home residents is a cornerstone of delivering person-centered care (PCC), yet little is known about how cognitive ability can influence the importance of reported preferences. The current study examined the effect of cognitive ability on the level and stability of reported importance of preferences for everyday living in a sample of 255 nursing home residents across 3 months. Participants were grouped by cognitive impairment status (none-to-low, mild, and moderate) at baseline and completed the Preferences for Everyday Living Inventory, Nursing Home version interview at baseline and 3 months. Repeated measures analyses of covariance revealed no significant differences (p > 0.001) between cognitive groups on their reported level of importance of preferences at baseline and no significant change over 3 months. These data highlight the value of assessing everyday care preferences to help support delivery of PCC for individuals with and without cognitive impairment. [Journal of Gerontological Nursing, 44(5), 9-17.].
评估养老院居民的日常生活偏好是提供以人为本的护理（PCC）的基石，但对于认知能力如何影响所报告偏好的重要性却知之甚少。本研究在255名养老院居民样本中，考察了认知能力对三个月内所报告的日常生活偏好重要性水平及稳定性的影响。参与者在基线时按认知障碍状态（无至轻度、轻度和中度）分组，并在基线和三个月时完成《养老院版日常生活偏好量表》访谈。重复测量协方差分析显示，认知组之间在基线时所报告的偏好重要性水平上无显著差异（p>0.001），且在三个月内无显著变化。这些数据凸显了评估日常护理偏好对于支持为有或无认知障碍个体提供以人为本护理的价值。[《老年护理杂志》，44(5)，9 - 17。]
