Challen R, Low L-F, McEntee M F
Discipline of Ageing and Health, Faculty of Health Science, University of Sydney, Lidcombe, NSW, Australia; Discipline of Medical Radiation Science, Faculty of Health Science, University of Sydney, Lidcombe, NSW, Australia.
Discipline of Ageing and Health, Faculty of Health Science, University of Sydney, Lidcombe, NSW, Australia.
Radiography (Lond). 2018 Oct;24 Suppl 1:S33-S42. doi: 10.1016/j.radi.2018.05.012. Epub 2018 Jul 9.
People with dementia have difficulties with memory, executive functions and behaviour which pose a challenge during diagnostic imaging. There is abundant literature on the radiographic diagnosis of dementia; however, there is little research on how to best to care for people with dementia during imaging procedures. The aim of this study is to explore the experiences of dementia care in imaging departments through the perspectives of people with dementia, carers, radiographers and student radiographers.
This was a cross-sectional qualitative study. Four people with dementia and six carers participated in individual semi-structured interviews; eight academic radiographers and 19 student radiographers participated in focus groups. Interviews and focus groups were transcribed and thematically analysed.
Participants described positive and negative experiences during imaging procedures. Common themes existed among people with dementia, carers and radiographers. Findings were (1) People with dementia and carers had negative experiences such as distress and pain; radiographers experienced stigma and violence. (2) Negative experiences during imaging were associated with disrespected personhood, poor communication, insufficient knowledge of dementia, inappropriate time management, overly stimulating physical environments and exclusion of carers. (3) Departmental protocols that contributed to negative experiences included lack of preparation, lack of dementia protocols, and the use of restraints.
People with dementia and their carers can experience poor care in imaging departments and radiographers can find it difficult working with people with dementia. Radiographers need training about dementia, imaging services can improve their procedures and environment, and work in greater partnership with carers.
痴呆症患者在记忆、执行功能和行为方面存在困难，这给诊断成像带来了挑战。关于痴呆症的放射学诊断已有大量文献；然而，关于在成像过程中如何最好地照顾痴呆症患者的研究却很少。本研究的目的是通过痴呆症患者、护理人员、放射技师和放射学学生的视角，探索成像科室中痴呆症护理的经验。
这是一项横断面定性研究。四名痴呆症患者和六名护理人员参与了个人半结构化访谈；八名学术放射技师和19名放射学学生参与了焦点小组。访谈和焦点小组记录被转录并进行了主题分析。
参与者描述了成像过程中的积极和消极经历。痴呆症患者、护理人员和放射技师之间存在共同主题。研究结果如下：（1）痴呆症患者和护理人员有痛苦和疼痛等消极经历；放射技师经历了污名化和暴力。（2）成像过程中的消极经历与人格不被尊重、沟通不良、对痴呆症了解不足、时间管理不当、物理环境刺激过度以及护理人员被排除在外有关。（3）导致消极经历的科室规程包括准备不足、缺乏痴呆症规程以及使用约束措施。
痴呆症患者及其护理人员在成像科室可能会得到较差的护理，放射技师可能会发现与痴呆症患者合作困难。放射技师需要接受有关痴呆症的培训，成像服务部门可以改进其流程和环境，并与护理人员建立更紧密的合作关系。
