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对中度至重度智力残疾者的约束干预措施:支持人员和家庭成员的观点。

Restraint interventions in people with moderate to profound intellectual disabilities: Perspectives of support staff and family members.

作者信息

Embregts Petri J C M, Negenman Annemarieke, Habraken Jolanda M, de Boer Marike E, Frederiks Brenda J M, Hertogh Cees M P M

机构信息

Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.

Dichterbij Innovation and Science, Gennep, The Netherlands.

出版信息

J Appl Res Intellect Disabil. 2019 Jan;32(1):172-183. doi: 10.1111/jar.12519. Epub 2018 Sep 7.

Abstract

BACKGROUND

Due to incompatibilities in communication, it is key that family members and support staff can take the perspective of people with moderate to profound intellectual disabilities (ID) whilst putting aside their own perspectives.

METHOD

Ten vignettes describing types of restraint interventions (RIs) were presented to 20 unique pairs of support staff and family members related to individuals with moderate to profound ID.

RESULTS

In taking their own perspective, more than half of the support staff and family members perceived all RIs as involuntary and severe. In contrast, when asked to put themselves in the position of the client/family member, only three RIs were considered involuntary by a majority of support staff and family members.

CONCLUSIONS

These results indicate that support staff and family members can take into account the perspective of people with moderate to profound ID in the evaluation and consideration of involuntary care.

摘要

背景

由于沟通方面的不兼容性,家庭成员和支持人员能够抛开自身观点,从患有中度至重度智力残疾(ID)的人的角度出发看待问题至关重要。

方法

向与患有中度至重度ID的个体相关的20对不同的支持人员和家庭成员展示了10个描述约束干预(RI)类型的小场景。

结果

从自身角度出发时,超过一半的支持人员和家庭成员认为所有的RI都是非自愿且严重的。相比之下,当被要求设身处地为服务对象/家庭成员着想时,大多数支持人员和家庭成员仅认为三种RI是非自愿的。

结论

这些结果表明,支持人员和家庭成员在评估和考虑非自愿护理时能够考虑到患有中度至重度ID的人的观点。

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