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下一步是什么?痴呆诊断后的社会支持和指导经验。

What next? Experiences of social support and signposting after a diagnosis of dementia.

机构信息

School of Social Care and Social Work, Manchester Metropolitan University, Manchester, UK.

出版信息

Health Soc Care Community. 2020 Jul;28(4):1170-1179. doi: 10.1111/hsc.12949. Epub 2020 Jan 30.

Abstract

The experience of being diagnosed with dementia can be shocking. This may be compounded if individuals feel that there is a lack of signposting onto further avenues of support following diagnosis. This study, then, examines how social support is promoted in the diagnostic process. Using purposive sampling and a grounded theory approach, semi-structured interviews were conducted with 13 members of a dementia empowerment group in Northern Ireland, discussing both their experience of diagnosis and also their subsequent group membership. Respondents reported both positive and negative experiences of diagnosis. Feelings of shock and bewilderment accompanied this process. Only one was able to identify a direct link between a medical professional and referral to the empowerment group, others being referred by other health professionals or dementia navigators. The study indicates that, due to disorienting feelings, one diagnostic consultation is insufficient to explain both the diagnosis and offer follow-up support. Therefore, more explicit links to navigators or other services need to be made at the point of diagnosis to prioritise information regarding opportunities for social engagement for those being diagnosed.

摘要

被诊断患有痴呆症的经历可能令人震惊。如果个人感到在诊断后缺乏进一步支持途径的指示,这种情况可能会更加严重。本研究 então 探讨了如何在诊断过程中促进社会支持。研究人员采用目的性抽样和扎根理论方法,对北爱尔兰的一个痴呆症赋权小组的 13 名成员进行了半结构化访谈,讨论了他们的诊断体验以及随后的小组成员身份。受访者报告了诊断过程中的积极和消极体验。伴随着这个过程的是震惊和困惑的感觉。只有一个人能够确定医疗专业人员与向赋权小组转介之间的直接联系,其他人是由其他卫生专业人员或痴呆症导航员转介的。研究表明,由于感到迷失方向,一次诊断咨询不足以解释诊断并提供后续支持。因此,在诊断时需要与导航员或其他服务建立更明确的联系,优先提供有关社交参与机会的信息,以便为被诊断的人提供帮助。

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